Laserfiche WebLink
APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> WILDING DIVISION <br /> 3200 CEDAR STREET <br /> 259-8810 FVERFTT, WA 98201 <br /> IUyIO �sRe� t <br /> 'Sn r <br /> Y atnte p one <br /> — <br /> enant a ress <br /> CY tate :p one <br /> X1, 1 �1e�1 r�L 4yLJ_4 <br /> - ecca onCractor a rens tate <br /> P one State License —' <br /> ontract Frice of F0_rF__ <br /> rop so use o u ng -- <br /> o7$a J — 5'lf TN �T" Sl •Lor ,(f� <br /> ro ect Addreaa <br /> Jiscription of Work To Be Done: <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THF SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO CIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE 4s. <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> Signature Date <br />