Laserfiche WebLink
CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERE'IT, WA 9R201 <br />Owner <br />Tenant <br />APP;,Ii:A�'ION FOR ELECTRICAL PERMIT <br />Mail Address <br />Mail Address . <br />2__ <br />/1J(,t� �Ue/'e(l L✓Lt. <br />City <br />City <br />State/Zip <br />State/Zip <br />cr 9 <br />Hno�z, <br />259-8810 <br />PLone <br />Phone <br />�1�3_s-33�- <br />C/r'(/ �lrz'C(611� -' Z--���i5�5� u��Ti�e�l �-✓ l�rZ c9//E,��o <br />X'o l a• e y� �r`1 <br />Electrical Contractor Mail Address City State/Zip Phoue Stcte License No. <br />Contract Price of Work <br />�30Z — g�� c,J js �e.rc/ <br />Project Address <br />Proposed Use of Building <br />� <br />Description of Work to Be Done: L(�'i fZ � ��� � f I QlJ _ <br />NOTE: WAC 296�6-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCAITONAL, WSTITUTIONAL OR <br />HEALTH CARE FACII.ITIES BE APPROVED BY TE� STATE OF WASHINGTON. f,PPLICANTS WITH SUCH JOBS <br />MUST SHOW TI3E S:ATE APPROVED PLANS BEFORE CIT'Y OFEVERET PERMIT WiLL BE ISSUED. <br />NOTE: WIRING W NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND .AC, ARE CABLES, <br />NOT RACEWAYS). <br />I IiEREBY CERTIF'? TfiAT I HAVE READ AND EXAMINED'iHIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECI'. AL.L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK W[LL BE <br />COMPLET'ED WIT�; WHETHER SPECIFIfiD HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AN7' OTHER STATE OR LOCAL LAW <br />RF.GULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTIiORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TI� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signamre <br />�._ Z�(_ �2— <br />Date <br />Fee 3vZ�� <br />�i«orr (�isi93� <br />