Laserfiche WebLink
CITY OF EV6RI:TT <br />BUILDING DIVISION <br />3200 CLDAR STREET <br />EVERETT, WA 98201 <br />APYLICAT'ION FOR �LECTRICAL P�RIIIIT <br />�'"Nr %" ��)c /� il�t� ' <br />O��rcr A1ail Address <br />l'cnant <br />/_ �/UFi�ea/Os=�vT <br />Electrical Contraclor <br />A1ail Addratis <br />Mail Address <br />11Ss�/o • ov <br />Contracf Price of Work ' <br />/li^G�� I _ <br />P«���nddr�s <br />Dcscription of Work to Bc Done: <br />CitS' State/Zip <br />���y Slate/Zip <br />J�1/S y Sc L�' /tli7[ rF_ f' �O <br />City State/Zip <br />,: _ <br />Use <br />Phone <br />259-8810 <br />_� ���g8 <br />idi/u lUil <br />�s�f � Phone <br />�y7/ <br />Phonc <br />l'OF/� " / 7TG <br />/.:�ZGSState Liccnse No. <br />�132/� �3j /�% is; ���, � 7, /�, /9, 10. 2/ <br />� � n �c,�.�S <br />/— �( ii ,;�, � / /e;n.-.� . .,,..._ . ,� <br />NOT�: WAC 296-46-140 REQUiRES TIiAT PLANS fOR ELECTRICAL WORK AT EDUCATfONAL, INS'PITUTIONAL OR <br />HEALTH CARE FACILTTIES BE APPROVLD BY iHE STATE OF WASfiINGTON. APPLICANTS WITH SUCfi ]O$S <br />MUST SHOW TiiL• STATE APPROVED PLANS BEFORE Cfl'Y Or EVER::T PERMIT WILL IIE ISSUED, <br />NOTE:IVIRING ]N NON-DWELLINGS IS REQUIRED TO BE W ME•TALLIC RACEWAYS (MC AND AC, ARE CA➢LES, <br />NOT RACLWAYS). <br />1 HEREDY CERTIFY TIiAT I HAVH READ AND EXAMINED 7'HIS APPLICATION AND KNOW THE SAME TO IIE 7RUI: <br />AND CORRECT. ALL PROVIS10N5 OF LAWS AND ORDINANCES GOVERIJING THIS TYYE OF WORK WILL 131: <br />COMPLETED WITI� WHETH6R SPL-CIFIED FiERE1N OR NOT. 7'HG GRAN'CING OF A PERMIT DOES NOT PRESUt.lI: <br />TO GIVE AUTIiORITY TO VIOLATE OR CANCLL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LA\1' <br />R1:GULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. T}1AT I AM AUTHORIZED QY Tllf: <br />OWNER OT THIS PROPERTY TO PERFORM THG WORK FOR WHICH APPLICATION IS MADE AND I COMPLY R771i <br />7'HL STAT� CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />\ ;-'% <br />C <br />,i/ SiF..,lu� <br />i <br />Dale <br />r�_/l 7% - <br />%7, %C ' L� lv <br />cl<cepp 17;Siot1 <br />