1002 ANGLE LN 2016-01-01 MF Import

-� rt► ,` APPLICATION FOR ELECTRICAL PERMIT � �ty 33`1 CITY OF EVERLTT BUILDiNO DMSION 37A0 CEDAR STREET EVEREIT, WA 96201 �j, / ?3�-8810 L!! vr21`'� �f �1z4 �1/` ( I�_ ��th �>5 �7Fr - t,t�uv Uwner Mul Address Ciry - Shte/Zip Phenc Tenant Mail Addrese . Ciry State/ZiP P6one 1�� .�r Qsir l'.-o� cvaw ��.��8'9l� 1T7.4�'� �$s, 6•,�,�_ E xtn� cal Contnctor MaU Addrese City State/Zip Phone Sute Li No. y�1LA � /1�AW PY ntract rice of Work P po se o Building � 1002 �H _rp / ,,. . F ��.t`f' (4�iSr �� r��Mliw Projact Addrose (� � � Description of Woric W Bn Done: 'f�Cfl� .�C/ + .f' S' � NOTE:WAC 2%-46-140 REQUIRES'IIiAT PLANS FOR ELECTRICAL WORK AT EDUCATfONAL, INSTITIT170NAL OR' HEALTH CARE FACILITIES BE APPROVED BY THE STAT& OF WA�HINGTON. APPLICANTS WffH SUCH JOBS MUST SHOW TF�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMff WILL BE ISSUED. NOT6:WIRIIVa IN NON-DWELLIN�S IS REQUIRED TO BE W METALLIC RACEWAYS (IvIC AND AC, ARE CABLES, NOT RACfiWAYS). t — i I H&EtEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TFffi SAMB TO B&TRUE AND CORREGT. ALL PROVISiONS OF LAWS AND ORDINANCES GOVERNIN(i THIS 7YPE OF WORK WILL BE COMPI.ETED WITH WHETIiER SPfiCIFIED HEREIN OR NOT. 'CHE GRANTINO OF A PERMff DOES NOT PRESUMTi TO GIVH AUTf{ORTfY TO VIOLA7'E OR CANCEL THE PROVISIONS OF ANY OTHER STAT6 OR LOCAL LAW REGULATINCi CONSTRUCTION OR 'fHE PERFORMqNCE OF CONSTRUC710N. THAT I AM AUTHORIZED BY THC ' OWNER OF TH1S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY 1YI11i THE STATE CONTRAC70RS LAW 18.27 RCW AND 296.200 WAC. X ��' �.� Fa�_,'` �S� Date '�' � clxapp p/SI97;