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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVEREZT, WA 98201 OL <br />2S9-BRIO <br />41t1 it ii 1L sJ\1 u4J I'�IU:). ��l 1-1Uf �LPRf �I I/ ft �C[GI "rt _a - <br />Owner Mail Addr City Slate/Zip Phone <br />O(GLA pne (- U'J7 .il ; ,- c!t?u <br />Tenant Mail Address City State/Zip Phone <br />`qII)1c ('IS A�uue <br />Gantnetor Mail Address City Sutc1ZiP Phone State License No. <br />1\1i1'k I I <br />Contract Price of We Proposed Use of Building <br />Project Address �J�, <br />Description of Work to Be Done:-Otj:;�4'1%i.S� � GUtJ.-�l.tdNl' ���✓ - v�Cr V— - <br />1-,> 1,., t-J� (k'I Ste) ln/r�rr It �� �I r•St <br />NOTE: WAC 296-46-140 PEQUHtES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILTIIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY CF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEI EIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.21 RCW AND 296.200 WAC. <br />// - 9' %3 Fee -30 <br />Date <br />elaupp (315193) <br />