5810 11TH AVE W 2016-01-01 MF Import

APPLICATION FOR ELECTRICAL PERiVIIT CITY OF EVERETT BUILDING DIVISION 3200 CEDAR STREET EVERETT, Wq 9g201 259-8810 SELECT HOMES 12811 8th AVE. 4,. 3A-20'i EVE;?ELT Y;A. 98204 Ovmer Mail Addrass City State/Zip Phone Tenant Mail Address . 1 City SC�te/ZiP Phone LM-3 Electrical Contractor Mail Adu,ess City State/Zip Phone State License No. N/A TFMPORARY Contract Price of Work Proposed Use of Building _ 5810 11th PL. S.W. (,b—r b-7 Project Address Description of Work to Be Done: TFMPORARY NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDiJCATIONAL, INS'PITUTIONAL OR I-IEALTH CARE FACII,ITIES BE APPROVED BY THE STATE OF WASHINGTON. A?PLICANTS WIT'H SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CiTY OF EVERET PERMIT WILL BE ISSUED. NOTE:WIRING IN NON-DWELLiN;S IS REQIIIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLLS, NOT RACEWAYS). I FIEREBY 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 WI'IH WHETHER SPECIPISD HEREIN OR NOT. THE GRANTWG OF A PERMIT DOES NOT PRESUME TO GNE Ai1THORITY TO VIOLATE OR CANCEL TFIE PROVISIONS OF ANY OTHER STATE 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 WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. X � �( Fee �� I �gnature D te �7L�SS clecnPP C3/5/93;