Laserfiche WebLink
- --=--�— <br /> � �-.. <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> c[rY or xvEx�-r <br /> BUII�ING DMSION <br /> 3200 CEDAR STREET <br /> EVERfiTT,WA 98201 <br /> 259-8810 <br /> g� �'� �� z 3 � �5 ts�_ �kP� ����5� �.3y_ 7��9 <br /> Ownet Mail Address Ciry State/Zip Phone <br /> Tenmt Mail Addrcss City S4te/Zip P6oae <br /> 11�3;,� ���. ar��s' G��� �sf �. ��ra� 3.�-�.�s� /l�ss�s.��, <br /> Elxtrica!Contractor Mail Address City State/Zip Phone S4te License No. <br /> �/e , �019 G ��o��•.wc�a, � <br /> Con t Price of Work Proposed Use of Building <br /> oc j/ 7 �iSl'G/ �/ U <br /> Project Addras <br /> Description of Worfc to Be Done: �� �`K�I <br /> NOTE:WAC 296-�6-140 REQUIFtES THAT PL�NS FOR ELECIRICAL WORK AT EDUCATIONAL, INS'ITTUTIONAL OR <br /> EiEALTfi CARE FACIIdT�S BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WITfi SUCH JOBS ,�, <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERE'f PERtvfIT WII,L BE ISSUED. ' � <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, � <br /> NOT RACEWAYS). <br /> 1 HEREBY CfiRTIFY THAT i HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TH&SAME TO BE TRLT� <br /> AND CORRECf, pLL PROVISIONS OF LAWS AND ORDWANCES GOVERNING TFIIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH VVEIEI'lIFR SPECIFIED EiEREIN OR NOT. T:-IE GRANTING OF A PERMTf DOES NOT PRESUME <br /> TO GIVE AUTfIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR Lt)CAL LAW <br /> REGULATING CONSTRUCTION OR 'I'HE PERFORMANCE OF CONSTRUCI70N. THAT I AM AU1'HORIZED BY THE <br /> OWNER c)F TfiIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICAT[ON IS MADE AND I COMPLY WITH <br /> Tf�STATE CUNTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> , <br /> " ,�,,,,. l/��� i�-- �/� y � Fce a� <br /> Signamrt Dete <br /> �j�a�- <br /> ci«orr�r5iv�) <br />