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APPLICATION FOR TLECTRICAL PERMIT <br /> CITY OF EVERETT � <br /> BUII.DING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 259-BB10 <br /> �,�a�..�1- <br /> er � Mul Address ��I ^ Ciry . � Gte/Z�p Phone <br /> Ten�nl Mail Addrcss Ciry State/Zip Phone <br /> . —� , -- -� . - ����'�O7TJ �5Ps1�Hf" a:-.�Ti.� <br /> Electrial Co tnctor Mail Addrcss ty Sbte/Zip P6oae Shto cease No. <br /> +�2Y% �Q�- .i�� Ol�z.x <br /> Contnct Price of Work Proposed Use of Building <br /> lo5nl���.�4 d ;� �'r 1£'-�-- <br /> Project Addrcas <br /> Description of Work ro Ba Done:��,y.'��j � �� � � � � ���� �� - <br /> NOTE:WAC 296-46-140 REQUIRES'CHAT PLANS FOR fiLECfRICAL WORK AT EDUCATIONAL, WSTITU'1'lONAL OR <br /> NEALTIi CARE FACILITIES BB APPRUVED BY 77� STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CP.Y OF EVERET PER1uiIT WII1-Bfi ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS'REQUIRED TU BE IN METALLIC RACBWAYS (MC AND AC, ARfi CABLES, <br /> NOT RACfiWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLiCATION AND KNOW Tf�SAMfi TO BE TRUB <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TFIIS TYPfi OF WORK W71.L BE <br /> COMPLETED WITH WIiETHER SPECIFIED HEREIN OR NOT. THE GRAM'INO OF .4 PERMIT DOES NOT PRFSUMfi <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OT'HER STA'ffi OR LOCAL LAW <br /> REGULATING CONSTRUGT10�7 OR THE PERFORMANCE OF CONSTRUC710N. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATTON IS MADE AND 1 COMPLY WITH <br /> THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> � � <br /> X '. � i y �^ ' Fee��_ <br /> ;, -�c <br /> Signeture . Date <br /> ! <br /> elm�pp(!/SN7) <br />