Laserfiche WebLink
APPLICATION FOR ELECTRICAL PERMIT <br /> • CITY OF EVEREST <br /> IIUI LDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (/l' 11259.8810 <br /> 1 (111c�titli,uv^r� �L�y �o�'kn� Rec���c� 7 IlUUe LJA 900? ate- 7,5,;23�J Mail Address City State/Lip one <br /> wantMail Addresa ty tate <br /> Van flec.,=,C_ Pa � A <br /> /TOY.) 486-Ad -'r,26t1gCec contractor Mail AddrC55 LityState/Zip <br /> — one ata a License No. <br /> .ontract Prime or worKroposeo use or Building <br /> ��i 9 — SR" ST %) 4 � <br /> reject Address / <br /> )iscription of Work To Be Done: ire` 11Pu� /-eaSj�l Ply 1 <br /> s <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 THE 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 GIVE <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 THEvi <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � 1 r i/ <br /> Signature Date <br /> u�U,n� <br />