616 PECKS DR 2018-01-01 MF Import

APPLICATION FOR �LECTRICAL PERMIT CITY OF EVERETT BUILDING DIVISION 3200 CEDAR STREET EVERETf, WA 98201 259-8810 Everett School District No. 2 2302 Everett Avenue Everett TdA 9E201 339-4270 Owner Mail Address City State/Zip Phone Madison Elementary 2302 Everett Avenue Everett WA 98201 339 4270 Tenant Mail qddress Ciry Stata/Zip Phone Everett School District No. 2 2302 Everett Avenue Everett, IJA 98201 339-4270 Electrical Contractor Mail Address Ciry Slate/Zip Phone State Liceuse No. $500.00 Portable Classroom Contract Price of Work Proposed Use of Building 616 Pecks Drive, Everett, IdA 98203 Project qddress , Description of Work to Be Done: Install ground rod - safety check Electrical service - install guy wire to service mast for PUD connectian. NOTE:WAC 296�-06-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTlONAL OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASAINGTON. APPLICANTS WiTH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. NOTE:WIRING IN NON-DWELLINGS IS RFQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, NOT RACEWAYS). 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 GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTTON. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'TH THE STATE CONTRAC!'ORS LAW ]8.27 RCW AND 296.200 WAC. X �r--/� q.� � 't-..G►,�.� 'y"„uii,G-�:-�J 6/20/95 F�,3v, �0� Date y�7��o eleceno f!/5/9J1