2510 COLBY AVE 2016-01-01 MF Import

APPLICATION FOR �LECTRICAL PERMIT • CITY OF EVERETT BUILDING DIVISION �� 3200 CEDAR STREEC � EVERETT, WA 98201 259-8810 `. ,i ,NI�. I�Df� lEnl 2s � z C��s� �vF�-r� �� Owna Mul Address City State/Zip Phone .'`� ��. SNr,P� 25i� Cf�cB� rvER�r� Z�8 - 333 � Teoant Mail Address . Ciry State/Zip Phone . 1 .n-�'• 1 �TC-�5�� FLFc�Iu� 3322 I zz'"r ��nli�wo�Gi 9go3� �q3�798� DCPE1�� 191nf�1 � Electriwl Contractqr Msil Address City State/Zip Phone State Licenx No. 5 s�z� �F.+�i AC- O(FI cE Contract Price of Work Proposed Use of Building zslo co�3� ; � ProjectAddrrss � -'�r' I Ducription of Work to Be Done: ^%�'f'°e'�L �LO OFf"� �E 5/�/1LE 'r0 �ENTj} (� ( ��1 � DfF� �� 5 =�cn-��-�t Sec��v� ��- /ou � ,a �o� �4 f W . ` .; NOTE:WAC 296-06-140 REQUIRES THAT PLANS FOR ELECI'RICAL WORK AT EDUCA7'IONAL, INSTITUT'IONAL OR TP� HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITfi SUCH JOBS MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvfIT WILL BE ISSUED. �I ��I NOTE:WIRiNG IN NON-DWELLINGS IS REQUIRED TO BE IN TIETALLIC RACEWAYS (MC AND AC, ARE CABLES, � NOT RACEWAYS). I HEREIIY CERTIFY 7'HAT I HAVE READ AND EXAMINED THIS APPLICA'I70N AND KNOW'fHE SAME TO BE TRUE �.+'' AND CORRECT. ALL PROVISiONS OF LAWS AND ORDINANCES GOVERNING THIS 'fYPE OF WORK WILL BE �"' - COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME :V TO GNE AUTHORITY TO VIOLA7'E OR CANCEL THE PROVISIONS OF ANY OTHER S'fATE OR LOCAL LAW i REGULATING CONSTRUCTION OR 7HE PERFORMANCE OF CONSTRUCTION. THAT I AM AVI'HORIZED BY T7iE E OWNER OF THIS PROPERTY TO PERFORM 1'HE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WiTH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. ' :'� � / �� K �,�.�-� ��n.� g F�_ i f�:��' 9�-30 - .� _ ;:: Signature . Daro �71,.' �,�,� �� �i«err c�isiv»