Laserfiche WebLink
CI71' OF EVERETT <br />BU]LDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />---,— <br />o �-� �� k <br />Owner <br />Tenant <br />�� � C <br />Etectrical Contractor <br />� �5�v. .:o <br />Contract Price of Work <br />APPLICATION FOR �LECTRICAL PERMIT <br />l ,..' V GU <br />Mail Address <br />Mail Address <br />Mail Address <br />�.� S 7 f4 T�2. i.tJ, <br />Projut Address <br />Description of Work to Be Done: <br />7��i Ic•%(/, �U�c�C`-fl <br />City <br />City <br />StateiZip <br />StatelZip <br />City State/Zip Phooe <br />259-8810 <br />Phoce <br />Phone <br />State Liceose No. <br />�/.tI .,/_f -Y.f'tifiG�l Ij��/D�i✓C�- — <br />Proposed Use of Building <br />C�-� �G'7/� f-���/�or>n� S?o���r'c. �M i <br />, , <br />NOTE: WAC 296-46-140 REQUIFtES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIT'UTIONAL OR <br />HEALTH CARE FACILTTIES BE APPROVED BY THE STP..TE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERE: PERMIT WiLL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO Bli IN METALLIC 1tACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREEY CERTIFY THAT I FIAVE READ AND EXAMiNED THiS APPLICATION AND KNOW THE S.4MF. TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDIIVANCES GOVERNING THIS TYPS OF WORY WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NCT PRESJME <br />TO GNE AUTHORITY TO VIOLATE O;', CANCEL THE FROV1510NS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR T]iE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TH[S PROPERTY TO PERFORM THE WORK FOR WH1CH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CJNTRACTORS LAW 18.2'; RCW AND 296.200'rVAC. <br />X 1 <br />--!_� �c-, _ /t�-i. . '-Ci l' �c� y �i? 7 3 <br />Dale <br />t::�nnp (3/5/93) <br />