3030 PANAVIEW BLVD 2016-01-01 MF Import

APPLICATION FOR ELECTRICAL PERMIT CITY OF EVERETT BUII.DING DIVISION 3200 CEDAR STREET EVERE'IT, WA 98201 259-88f0 Li4o✓/1.q � Si�cc�v.o 3a3oFA�JAvrCt� T3� 'v c✓ce�7' /f� 9820 , 3 S S ,'ip9� �e� Mail Address City State/Zip Phone Tenant Mail Address City State/Zip Phone 0�.�1 nJt� Electrical Contractor Mail Address Ciry State/Zip Phone State License No. 2t5lOcaJT'i�}� . Contract Price of Work Proposed Use of Building 3a3oPAn/Ft�i�.J 'A� ✓� Pro�ect Address Description of Work to Be Done: R� � C7�- -��}.� Q/�,iJ�—L NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR FiH.',LTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WiTH SUCH JOBS MUST SHOW Tf�STATE APPROVED PLANS BEFORE C11'1'OF EVERET PERIv1IT WILL 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 HAVfi READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRbCI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NO'C. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUT'HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI'ION. 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. Xl[ ��/LIA,/1 �" � �!/ 1�,,, •1L,, ` Z �(�- %� F� Signature Date �3��i(o ��«orr nis�o;