Laserfiche WebLink
APPLICATIG: *4 FOR ELECTRICAL F�RMIT <br />_ITY rF <br />P.VFrett <br />91.1I,.DING DEPARTMENT <br />259.3810 OL <br />NrcK t`cPFc 23i1 (OZ"n, Sr t✓ L✓w <br />lei Mail Address city Zip hone <br />enant Mail Address L ty p r-�Fone <br />L P$L 2 <br />Ere ctr Ica ontractor a: T7AT ress city Zip one --License it <br />antract Prcn Wor Propose-F1Jse of —Building <br />23/1 62!ro� sT <br />ro ect Address <br />-TH5ML-L Z Nn Mc rrit a x If.Asr <br />scription of 'Mork to ce Uone: <br />NOTE: WAC 296-46-140 REOUIRES 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 REOUIRED 1O BE IN METAL RACEWAYS. <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 AN AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296,200 WAC. <br />is <br />Signatfire Date <br />FEE �D <br />3- Y& <br />