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APPLICATION FOR �LECTRICAL P�R1ViIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> a� `�-r�'u-r i.3=3� �1„ir�.�n Canr,�,�„T��. r.c �a 9�a�� ,� bas -a533 <br /> Owner Mail Address City Stete/Zip P6one <br /> �1 Ott� <br /> 'fenaol Mail Address City State/Zip Phone <br /> L/ <br /> Elxtrical Contnc or Mail Address City State/Zip Phooe State Liceou No. <br /> �aS�r1J.n��G <br /> Contract Price of Work Proposed Use of Building <br /> a�t�7 G/ta S�'+��Y- , ��.,�.,r_7t' <br /> Project Address <br /> Description of Work to Be Aona �-n� l/Lr�� �i i.��� �k� /.7 �'/ e.�� .�._�'�_ <br /> `�. � r� /�_c�.^� L � �i / -�mv� 5 T7`inc <br /> �J�al�� ,�`a;�r�i�: <br /> NOTE:WAC 296-46•140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU'ITONAL OR <br /> HEAL'fH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SLfCH JOBS <br /> MUST SHOW TF�STA7'E APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN MEI'ALLIC RACEWAYS (MC AND AC, ARE CABLES, I <br /> NOT RACEWAYS). <br /> I HEREBY CfiRTTFY THAT I HAVE READ AND EXAMiNED THIS APPLICATION AND KNOW THE SAME YO BE TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7'YPE OF WORK WILL HE <br /> COMPLETED WlTH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL 'I'HE PROVISIONS OF ANY OTHER STATfi OR LOCAL LAW <br /> REGULATTNQ CONSTRUCTION OR THE PERFORMANCE OF CONS'fRUCTION. THAT I 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 CON7'RACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> C Vpwci � rt-tl-oi.4'•�.) �T— 2 �� <br /> X 0 — <br /> . �y. �. !�-, .,,,,_,. 1 /l i�j� i y Fce � <br /> Signaturo Date <br /> el<cepp Q/Sl9)) <br />