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APPLICATION FOR ELECTRICAL PERMIT <br /> CiTY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8870 <br /> w1l�RD PRuI�oN � S�� ('�c-6�/ .Cv_ �v�- f,y2o� z 5 z — 8S�3S' <br /> Owna Mail Address City State/Zip Phone <br /> Tenant Mail Address City StatelZip Phone <br /> � �� i►��1I �c�=c.. M � y <br /> Electrical Contractor Mail Address City StatdZip Phone Sfate License No. <br /> SF,� <br /> Contract Price of Work Proposed Use of Building <br /> � s�.� � Co C./,��/ �,� <br /> Project Address ' . <br /> Description of Work ro Be Done: �itJJ%�C �- „�UO /t/i'1/' Q/; s%iQ(/��.'� TO <br /> R�� cr� Fx.v�i.uv ia e ,r�P. <br /> N01'E:WAC 296-46-140 REQUIRES THAT PLANS FOR ELEGTRICAL WORK AT EDUCATIONAL, INSTITU'110NAI. OR <br /> FifiALTH CARE FACILITIES BE APPROVED BY T'HE STATE OF WASHINGTON. APPLICANTS P/ITfi SUCH JOBS <br /> MUST SHOW TI�STA7'E APPROVED PLANS BEFORE CITY OF EVERET PERIv11T WILL BE ISSUED. <br /> NOTE:WIWNG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY 7'HAT I HA VE READ AND EXAMINED THIS APF LiG_,iON AND KNOW Tf�SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVE:.NING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHbTHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STA'I'E OR LOCAL LAW <br /> REGULA'ITNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI70N. 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 CONTRAGTORS LAW 16.27 RCW AND 296.200 WAC, <br /> X <br /> _��� / —zS—� S/ F� 35 cx� <br /> ' ( Signaturo ' Dete <br /> I L�J ���' � <br /> elecepp(!IS/?J' <br />