3 59TH PL SW 2016-01-01 MF Import

APPLICATION FOR ELECTRICAL PERMIT CITY OF EVERETT BUILDING DIVISION 3200 CEDAR STREET EVERETT, WA 98201 4m 259.8810 — 5CLgCT- laow ! Owner Mail Address —_— City State/Zip Phone Tenant Mail Address City State/Zip Phone Lw.3 Electrical Contractor Mail Address City State/Zip Phone State License No. I eco.oo g F K Contract Price of Work Proposed Use of Building 3 59 Tu Pt_ Sr.l Project Address Description of Work to Be Done: JJEu QE51pENeE oo At..a r NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS 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 CANCEL THE PROVISIONS OF ANY OTHER STATE 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 COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. X Q Fee JSoo fC g Date i ct«err(3s93)