1107 58TH PL SW 2016-01-01 MF Import

APPLICATION FOR ELECTRICAL PERMIT CITY OF EVERETT BUILDING DIVISION 3200 CEDAR STREET EVERETT, WA 98201 259-8810 SELECT HOMES 12811 8th AVE W. #A-201 Owner FVERETT WA. 98204 Mail Address 200— 4 32 City state/Zip Phone Tenant Mail Address City State/Zip Kone LM-3 Electrical Contractor Mail Address City State/Zip Phone State No. N/A License Contract Price of Work TINPORARY Proposed Use of Building 1107 58th PL. S.W. (L)T7)Project Address '— Description of Work to Be Done: TEMP(F,,ARY NOTE:WAC 296-46- HEALTH REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INS MUST CTE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH OR MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT 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 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 CViCEL THE PROVISIONS OF ANY OTHERSTATE 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 CO MPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. X Signature Fee I ate ---- -- I � elecepp f5/5/97;