1721 63RD ST SE 2018-01-02 MF Import

APPLICATION FOR ELECTRICAL PERMIT La�g3 CITY OF EVERETT BUILDING DIVISION 3200 CEDAR STREET EVERETT, WA 98201 OL 259.8810 DG ePA tv r> vb(-L-) Sao-7 13 9 L* f&�) zyn saw 9syz. Owner Mail Address City State/Zip Phone Tenant Mail Address City State/zip Phone—i .4 1 J lqc-Tiod W-V, lR.le_ (OUI AAA> VICCt t.,4.9BLxn d532V-S5— Ser�ovrazaJk Electrical Contractor Mail Address City State/Zip Phone State License No. Contract Price ot Work _ 17ZI 63AD sf Project Address SFiz G.fdlf-6& 3(?0-Axlf-Q1tCtrLr. Proposed Use of Building Description of Work to Be Done: 0447%k t Cl ICCCo I 2-O /`- I ZL)y TU G4`(Ca-CCi 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 ANT) 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 `NAC. X Date Fee decepp (3/5/93)