2111 JACKSON AVE 2016-01-01 MF Import

I u) � [� [�•�T�I�'ION FOR ELECT ' q�.,a�� U � � 15 � r_r� oF EVE�rur N O V - 2 19 9 3 O C 1' �6 1gg3 � BUIi.DING DMS.I.QN....... s2oo cEDnx srrtE�iy OF EVERETT CITY OF EVERETT ............................... EVER�'I'f, Wq 98�]b�i� Warks Dept. Public Works Dept. 25S-88Y0 Dennis Savaye 2111 Jackson Ave . Everett , 47A 98203 355-6753 �"'ne� Mail Address City State/Zip Phone -. N/A Tenant � . . . . . Mail Address , . . . . Gry State/Zip . . . Phone Emergency Networks 7835 S, 180th St. Kent , WA. 96032 251=0542 EMERGN*071M8 Electrical Contnctor Mail Address City 'State/Zip Phone State License No. GJS, U'zT"' SFR Cont�act Price of Work � 3 Proposed Use of$uilding � 2111 Jackson Ave. Everett, WA 9820�- F;c;xt Address �f`��l I�� De;cription of Work to Be Done: .LOW ¢ VOLTAGE SEC. SYS. SFR mo#04-520118285-11-2 NOTF:WAC 296-46-140 REQUIItES TT-IAT PLANS FOR ELE(.'ITcICAL WORK .�T EDUCATIONAL, INSTITUTTONAL OR HEALTH CARE FACII.ITIES BE APPROVED EY Tf�'STATE OF WASHINGTON. APPLICANTS W�'['x SUCH JOBS MUST SHOW T'f�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WII,L BE ISSr,ED. NOTE:WIIZIA(G IN NON-DWELLINGS IS REQUIRED TO BE IN MEI'ALLIC RACEWAYS (MC fu�TD AC, ARE CABLES, NOT RACEWAYS). I HEREBY CERTIFY 7'HAT I Hl,VE REA1� AND pXAMINED TF1IS APPLICA,"ION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WII.L BE COMPLETED WI'I'H Wf�I'HER SPECIFIED HEREIN OR NO'C. 'FHE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU'I'HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT'E OR LOCAL LAW REGULATING CONSTRUCTION OR TFIE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM Tf�WOP,K FOR WHICH APPLICATION IS MADE AND I COMPLY WITI3 Tf�STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. X �o � /`-( � /D -2s -9,3 ' F� .3a.ov-- Sig amre Date �a,�� elecnPP(!/5.