2017 26TH ST 2016-01-01 MF Import

APPLICATION FOR �LECTRICAL PERMIT CIT'Y OF EVERETT BUILDING DIVISION 3200 CEDAR STREET EVERETT, WA 98201 259-8810 �je_�,� �os �e � i� �uere� ��' Owner Mail Address City State/Zip P6one , lV.9'l'L-P Tenant Mail Address City State/Zip Phone �r�xea I �(ecfr�� i� �nv s.�. S3��lE Arl;�S� wA- �5:��> y?��g9aS �LLRG�99K�° Electrical Contractor Mail Address City State/Zip Phoae State License No. (J u o%� X Contract Price of Work Proposed se of It��ilding `�LD ( "7 �C�-Eti Projut Address � Description of Work to Be Done: ��ztQ t vi 'f'PY'i Ui'' rZ L(l( V'2 � C)ui��i v�q , Q ( V'2ady Cr�Pn�^ui/�N '�c,r srru�'� p �� �� NOTE:WAC 296-45-140 REQUIRES THAT PLANS FOR ELECTRICAL WOFiK AT EDUCATIONAL, INSTITL'TIONAL OR HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PE?tMIT WILL BE ISSUED. NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE W 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 GRANI'ING OF A PERMIT DOES NOT PRL�UME TO GNE AUTHORITY TO VIOLATE OR CAAICEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANC'F OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORF; FOR WHICH APPLICATIO?I IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW.AP?D 296.200 WAC. X ,,�� C��t - 1D-�� 93 F�.z _ Sienature Date elecnpp(!IS193;