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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OFIO <br />DIVISION <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />F.VERM, WA 98201 4m <br />259-8810 <br />Owner - — ---- "^ <br />Mail Address City State/Zip Phone <br />Tenait <br />mail Aaaress City State/Zip Phone <br />10!2 _ _ 4� 16474o <br />Electrical Contractor Mail Address <br />l <br />Contract Price of Work <br />Project Address <br />Description of Work to Be Done: <br />City State/Zip <br />rroposea Use of building <br />State L :ease No. <br />NO-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPUCWTS WITH SUCH LOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WIT S BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED KITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTIIORITY TO VIOLATE OR CoeiCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 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 CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />-& ,$ z q¢ <br />_ <br />Signature Date Fee_ <br />,3 w <br />ciccePP (3/5193) <br />