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APPLICATION FOR �LECTRICAL P�RMIT <br />C[TY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />��\�f ��S\ c��n �C'��� �J �1vc, � �-F ci �dQ� ��)b-��iU <br />Owner Mail Addrass City Stace/Zip Phone <br />'(� � ►a <br />Tenant Mail Address . Ciry State/Zip Phoae <br />�.�.a <br />Electrical Contractor Mail Address City State/Zip Phone Siate License No. <br />�i �a-�o �.,�� <br />Contract Price of Work Proposed Use of Building <br />`7�(JS '��'v 13\vci. <br />Project Address <br />Ducription of Work to Be Done: <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br />HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WTTIi SUCH JOBS <br />MUST SHOW TfiE STATE APPROVED PLANS BEFORE :.ITY OF EVERET PERivITT WII.L BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METAI.LiC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CER'fIFY TfiAT I HAVE READ AND EXAMINED'fHIS Ai'PLICATTON AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br />COMPLETED WITFt WHECHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />RF!iULA;TNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCITON. THAT I AM AUTHORIZED BY THE <br />OWNER O'F THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLiCATION IS MADE AND I COMPLY WITH <br />Tf� STA'IB CON'I'RACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature uace <br />dccepp (3/Sl9)) <br />