Laserfiche WebLink
�R 1 APPLICATION FOR ELECTRICAL PERA4IT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-alo <br /> owner Mail Address <br /> City State/Zip <br /> Phone <br /> Tenant Mail Address <br /> City state/Zip <br /> Phone <br /> Electrical Contractor <br /> Mail Address Cit <br /> Sl <br /> Y ate/ZiP Phone <br /> /&R.oc State License No. <br /> Contract Price of Work o <br /> Proposed Use Of Building <br /> t roJect Address <br /> ry <br /> Description of Work to Be Done: <br /> NOTE;WAC 295-46.140 REQUIRES THAT PLANS FOR ELE <br /> "EAI-Tp CARE FACILITIES BE APPROVED BY SIF'WORK AT EDUCATIONALTE OF WAS , INS <br /> L OR <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVE RET PERMIT APPLICANTS ITS SUCH <br /> j BS <br /> WILL BE ISSUED. SUCH JOBS <br /> NOTE;WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS NOT RACEWAYS, <br /> (MC AND AC, ARE CABLES, <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br /> AND CORRECT, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE G THIS TYPE <br /> KNOW THE SAME TO BE TRUE <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O I ANY A PERMIT DOF OESWORK <br /> WILL <br /> jI�B{E <br /> LAW <br /> REGULATING CONSTRUCTION OR THE PERFOR?L THE OF VISION OFION, THAT I AM A <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR W"ICH AppLICATIOH IT I "f AUT OR LOCAL THE <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC, AUTHORIZED BY THE <br /> AND I COMPLY WITH <br /> X <br /> Signature <br /> Date Fee SS--d)o <br /> V01)S <br /> cterarr 015roj1 <br />