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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> HUILDING DiVIS10N <br /> • <br /> 3200 CEDAR STREET <br /> fiVERETT,WA 98201 <br /> 259-BBfO <br /> ��'� Mul Addrecs � Ci� S4te/Zip P6one <br /> �d� �;�2� . <br /> Tewnt Mail Addrecs City SuWZip pbooe <br /> ����1�'�L 9e/S �rl� w�,��ssc�d'/ � Q,1.a3 5�3�?� ��//.�G� <br /> Electrical Contncwr Mail Addreas City S4te/Zip Phone State licame No. <br /> �/.7, p7S a�rl.s� r//� v�c. �J.,.t1w,�/ <br /> Con Price of Work P�opsed U f BuildinQ <br /> �,l�e yD-as Co�,sc�. �/� <br /> Proj ddrece <br /> Description of Work to Be Done: <br /> C � <br /> //�4��_ / ��l�- � ��O <br /> NOT6:WAC 2%-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT fiDUCATIONAL, INSIITITITONAL OR <br /> HEALTH CARE FACILITIES BB APPROVED BY THE SfATB OF WASHINGTON. APPLICANTS WPI'H SUCH JOBS <br /> MUSf SHOW 1'HE STATS APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL HE ISSUED. <br /> NOTB:WIRINO W NON-DWELLiNGS IS REQUIRfiD TO BE IN METALLIC RAC6WAYS (MC AND AC, AR6 CABLES, <br /> NOT RACEWAYS). <br /> I H&REBY CERT[FY TKAT I HAVE READ AND EXAMINED TH1S APPLICATION APID KNOW THE SAMfi TO HE TRUE <br /> AND CORRECT. AI.L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYP& OF WORK WiLL BE <br /> COMPLETED W1TH WfifiTHER SPECIt�IED HEREIN OR NOT. THE GRANTIN(3 OF A PERMff DOES NOT PRESUMB <br /> TO CNB AU'fHORTTY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATB OR LOCAL LAW <br /> REC3ULATINC3 CONSTRUCfION OR THE PERFORMANCE OF CONSTRUC770N. THAT I AM AUTHORIZ6D BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> Tf�STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X `���ifi�X �G� �� <br /> � Fee <br /> Si�naturo Da�e <br /> y a��3 <br /> elcc�PP 0/SNJ) <br />