3427 HAYES ST 2018-01-02 MF Import

APPLICATION FOR ELECTRICAL PERMIT CITY OF EVERETT 4 m7r BUILDING DIVISION 32DO CEDAR STREET EVERETT, MA 98201 259-8810 City of Everett 3200 Cedar Street Everett WA 98201 259-8931 ner MailAddress City Statelzip Phone Cit of Everett 3200 Cedar Street Everett WA 98201 259-8931 enant a d ress ulty State/Zip Phone Seven Sisters, inc. P.O.Box 719 Sedro Woolley 98284 856-0842 Electrical ontractor mail Address City State/Zip Phone State License No. SEVENSI199JT Approximately 530,000.00 River Siphon Headworks Pon Ma rTait ce o or Proposed Use o uiTing 3427 Hayes Street Everett WA 98201 1 oject ddress Diacription of Work To Be Done: Work included modification to existing electrical system. All work will be completed per City issued specification, Grant #C530-633-01. NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A .CITY OF EVERETT PERMIT WILL BE ISSUED. NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN CONDUIT. I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. **per City of Everett and Brown and Caldwell Specification �3� 7 0-6 FEE waived by City per section 1010 1.03 X Signature —� Date Nancy Williams, President Seven Sisters, Inc. 0 Brent Ridge, Project Manager P.K. Contractors, Inc.