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APPLICATION FOR �LECTRICAL P�R117IT <br /> CITY OF PVERETT <br /> IIUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> //!/'S • .(f�•dvidDY1 .��hd � /y ���__�__—,� 'F� !� � ��C�� _,- <br /> ��7- / <br /> Owner Ma ddress Cii}' State/Zip Phone <br /> Tenant � � T1aii Address City State/7_ip Phene <br /> ��r�n /' <br /> Llectrical Contractor Mail Address City State/7.ip Phone State License No. <br /> Contract Price of Work Proposed Use of Building <br /> iezi'� ��/6�- . <br /> Project Address <br /> Description of Work to Be Done: 1�t_Q� /�A/�t�� <br />� — <br /> NOTE:WAC 296-46-140 RE UTRES THAT PLANS O � <br /> Q F R LLLCTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> HEALTH CARL FACILiTILS BE APPROVED IIY THE STATL• OP WASHINGTON. APPLICAN7'S WITH SUCH JOBS <br /> MIJST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVI:RET PLRMIT WILL BE ISSU:ED. <br /> NOTE:WIRING IN NON-DWELLINGS 1S REQUIRED TO BL W MLTALLIC RACEWAYS (MC AN.D AC, ARE CAHLE�, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINLD THIS APPLICATION ANP KNOW THEi SAME TO HE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LA VS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLL•TED WITH WHETHER SPECIFIED I'L•kEIN OR NOT. THE GRANTING OF A PERMIT D��LS NOT PRESUME <br /> TO GIVE AL)THORITY TO VIOLATL OR CAtdCEL THE PROVISIONS OF ANY OTHLR STATE OR LOCAL LAW <br /> REGULA'fING CONSTRUCTION OR TIiE PERPORMANCE OF CONSTRUCIION. THAT I AM AUTHORIZED BY 7'HE <br /> OWNER OF THIS PROPL-RTY TO PERFORA4 THE WORK FOR WIiICH APPLICATION IS MADE AAID I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 W;qC. <br /> X % <br /> i <br /> Fee � <br /> SignaWro Date <br /> y��IZI� <br /> decnpp(7/S197) <br />