Laserfiche WebLink
APPLICATi.jN FOR ELECTRICAL E ERMIT <br />everett a,715 <br />BUILDING DEPARTMENT 4077 <br />259-8810 <br />rvlO MWP. AQ 2312d5C fiS&U 9203 353-a"I <br />Tenant <br />\ rou <br />Y D phone <br />�jrin <br />e- <br />��'__ 7Peur,iu <br />1 SFr <br />of T�Yrclla 95? Rr,nr u 5 iU8 rE <br />Electricaln <br />ractor <br />,3 <br />a 'Aadro f <br />y D no T:caneT <br />may .00 <br />)(wlea <br />n raet rT or Work <br />pa�,eye <br />repot np <br />r q�nd <br />SE_ <br />f0 H f\\\ <br />IY fT <br />.cf Ppt 16 <br />nAlQem <br />NOTE: VAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORN 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 NOR -DWELLINGS IS REQUIRED TO BE IN METAL RACEWAYS. <br />1 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 TNF 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 ZT R'W AND 2N MO WAC. <br />X L&Onna 'Smnt one <br />signature Date <br />FEE a).C)N <br />f fir} <br />APR i9g2 ((l <br />... city OF... <br />PNWI, <br />3/.rT1 <br />