Laserfiche WebLink
APPLICAT DN FOR ELECTRICAL ?ERMIT <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />)A to L, <br />enant laAdurrss LI tY Zip one %q 5-33D <br />Lt-l- CL&cr/Llc l ��{riLAALIZL Q �j� f1� E�_E <br />ectr ca ontractor Matt Address rV D . ` 7L 16:2 /� �'L' '� _13, j34 <br />Contract Price o or Proposed use of building <br />Project Address Iew6g r,Ik,C O .F <br />12S �(i•r� f�L. S6-- <br />scr pt on of Worko be one: <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 ISSUE'. <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 WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. 'rHE 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 2996,200 WAG. <br />X <br />Signature Date <br />FEE J <br />�0�V <br />