10929 EVERGREEN WAY BASE FILE 2016-01-01 MF Import

r�, � APPLICATION FOR ELECTRICAL PERMIT CITY OF EVERETT BUII.DING DMSION 3200 CEDAR STREET . EVERETT,WA 98201 , 259-8810 (��oC� l��iG� l09� �✓�arrs�� l:�r��" (�i/�- '� � Owner Mail Address City , St�te/Zip Phone �: /1�/� �� l EY'L' �Tl/ �(�'z� I=ik✓aY't�,�1 �i/c�-�� [�.4- �S�-�� r Twant � � Mai!Address City StaWZip P6ona � �Qe_�a�f ��e�r�. Po ��ld�2 �1�eI� �P/� �!� �y8ll p�unr��a> � � Electrtcal Contractor Mail Address City State/Zip Phone State Licease No. � � 3YG� c�r�ut�g(. -lk�rL �'2�C�1� � ` Contract Price of Work Proposed Use of Building � � �,� ��9 �i/�'areen A� � � Projxt Address T— � ' i � a; Description of Work to Be Done: -f-rl C I/�I,/_ �I.��Gi�/ ��/2�() ��r i r � � �'r � �J _ - s S +,,, \ , �1 s�d�� Nlf�f � U� -�1�� Cv.L�% //'7lL/J �!/l,� Fn2 � �'�`��i:� '` • �.� ��,olw/e� NOTE:WAC 296-06-140�REQUIRES THAT PLANS FOR ELEC'fRICAL WORK AT EDUCATlONAL, INS'f1TUTIONAL OR HEALTH CARL NACII.TCIES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANfS W1TH SUCH JOBS MUST SHOW T'f�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvITT WII..L BE ISSUED. NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, NOT RACEWAYS). I HEREBY CERTIFY THAT I HAVE REi�D AND EXAMINED THIS APPLICATiON AND KNOW TF�SAME TO BE TRUE I AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,I, BE CObSPLETED WITH WI�'i'fiER SPfiCIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME ' TO CiIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW I REGULATING CONSTRUCfION OR 7'HE PERFORMANCE OF CONSTRUCITON. TFIAT I AM AUTHORiZED BY Tf� i OWNEk OF THIS PROPERTY TO PERFORM TF�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH , THE STATE CONTRACTOR$LAW 18. RCW AND 296.200 WAG � /� � � X -� _ 7 /9 F� t�3 �, Signature D e i I u � /�� elccepp(3/S193) i�� r�.�r Py��6� �'�, ` �.fi _"�