Laserfiche WebLink
APPLICAT ivN FOR ELECTRICAL PERMIT <br />CITY CC <br />everett <br />BUILDING DEPARTMENT <br />259-BB10 )� 4 <br />1i2rrA i l\l. W 4SF 313(- 47). ueo.lr ' 10 33 a- 101 P —10- <br />Dener� -__ Mail Aaareaa mercy <br />Tenant Mail Address Zity p Phone <br />1� A M�n��2 c _SZTP sits-6rz� fien5e 0 <br />ectnca ontractor mina r ty p one— ce�7 ose +� <br />Contract r ce o or ropose Use o Building <br />c� toG. <br />ress <br />sc <br />v <br />60 A4 "P. <br />NOTE: WAG 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 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 WIIL 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 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 WAG. <br />X S�/9 <br />Signature Date <br />3&7V _ <br />