3411 COLBY AVE 2016-01-01 MF Import

�. — APPLICATION FOR ELECTRICAL PERMIT CITY OF EVERETI' BUILDING DIVISION 3200 CEDAR STREET EVFRETT,W'A 987AI 259-8810 9e�i � N l I� t �` �Z�Lt1� 3Yl/ Coc.P�y l:?ib�TC c�,lsN z: foS3 Oumer M '1 Address City State/Zip P6one l�/�'+L+G� 7'enant Mail Address City State/Zip Phooe �:� %+cn°fd Lu�T1z�C �NG fC)�6U1 lti9A-RYSliitl.v f�a7o (,5^3�y�i /�el�ovi3ez�c- Electrical ContncWr Mail Address C�ty State/Z�p Phone State Luense No �.� �� L,�w a r��c� Contract Price of Work Proposed Use of Building �yl� �OCOgI Project Address � Description of Work to Be Done: /ro� �� /� �a 8`'��S NOTE:WAC 296�6-140 REQiJIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEAI.TH CARE FACILiTIES BE AP:'ROVED BY THE STATE OF WASHINGTON. APPUCANTS WITH SliCH ]OBS MUST SHOW THE STA7'E APPROVED PLANS BEFORE CITY OF EVERE'C PERMIT WILL BE ISSUED. NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN MFTALUC RACEWAYS (MC AND AC, ARE CABLES, NOT RACEWAYS). I IIGRGBY CGRTIFY THAT T HAVE READ AND EXAMiNED THIS APPLiCA'fIC�N AND KNOW THE SAME TO BE TRUE AND COkRECT. ALL PROVISTONS OF LAWS AND ORDINANCES GOVERNING 77i1S TYPE OP WORK WILL IIL• COTfPLFTED WITH WHETHER SPECIFTED I-IEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AU7'HOR]TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEft S'fA:TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS'fRUC'fIOTJ. THAT 1 H1yi A1J71�10RIZED BY 'fHE OWNER OF T'.iIS PROPERTY TO PERFORM THL WORK FOR WHiCH APYLICATION IS MADE HND 1 COMPLY WITH THE STATE CON'P.tACi'ORS LAW 18.27 RCW AND 296.200 WAC. X (��( ��,,�� ._- � �Ly-f� F� 77 °� Signature Date ��«hrv ois,o�� „ - �i .:ti,4 „ i �. , . . . . _�, ,�a : i ,. ,. -f i �— i - ..n � y. r �. r` . . . . . . L�k.�.;.. �� - �, , � � , - ' � , � . � , , �� -� c�� .. , � . . � -