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A.PPLICATION FOR ELECTRICAL PERMIT �t��� <br /> CITY OF EVERETT <br /> BUILDINp DMSION <br /> 3200 CEDAR STREET <br /> EVHRETT,WA 98?.Ol <br /> 259-8810 <br /> , 7 47�7e7 <br /> � L '(7� <br /> Owner Mail Address � - �u <br /> City S te/ZiP Phone <br /> / <br /> Twanl Mail Addrcss . City Sute/Zip Phone <br /> -S�'�...�+�-��-/�, �'l_T� ,� �D 7 <br /> �lectncal Cqef'Er�lor Mail Ad City State/Zip P6one State icense No. <br /> � Fl� <br /> Contnct Price of Work Proposed Use of Bmlding <br /> ,ti � � � �,4 � ,2� <br /> Pro�ect Addreas <br /> Description of Work to Be Done:__'�'��„ n�y� <br /> NOTE:WAC 296-46-140 REQUIRES'fHpT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIT[J'PIONAL OR <br /> HEALTH CARE FACILTfIES RE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WlTg SiJCH JOBS <br /> MUST SHOW THfi STATE AP��ROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRINp nq NON-DWELLIMaS IS REQUIRED TO Bfi IN METALLIC RACEWAYS (MC AND AC, pRE CpBLES, <br /> NOT RACfiWAYS). <br /> I HEREBy CER7TFY 7'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAMS TO B&TRUfi <br /> AND CORRECT', /�I,L PROVISIONS OF LAWS AND ORDINANCES GOVERNING ?HIS TYPE OF WORK WILL gL <br /> COMPL.FTED WlTH WHEI'HgR SPECIFIED H&ltEIN OR NOT. THE GRANTIN(3 OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHpR17y TO ViOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AU7'FIORIZED BY THE <br /> OWNER OF T}IIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATTON IS MADE AND I COMPLY WITH <br /> THE STATE CON7RACTORS LAW 18.27 RCW AND 296.200 WpC. <br /> X �O� <br /> � ..P F� i _ <br /> Signeturo Date <br /> <i«err�rsi9» <br />