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r�N <br />tQ <br />APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 OL <br />259-8810 <br />Owner <br />Mail Address <br />Cit <br />State/Zip zrj�.�ddhme <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />�0 l E <br />311y 111( <br />I OtLe= Eo",V-� ( <br />q�?D/ <br />- 69 533 > <br />lac 'cal C�ontr�a-cttor <br />Mail Address <br />City <br />-b <br />Phone jt��}te No. / <br />! "v'�Wi110322 Xj <br />/ / X • ()0 <br />CSta\te/Zip <br />y 1 <br />r� <br />Contract Price of Work <br />Proposed Use of Building <br />Project Address <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH LOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY bF EVERET PERMIT WILL 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 IiAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIP- SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL 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' .IPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signature <br />co <br />Fee 4 — <br />Date <br />L/355 3 <br />decepp (315193` <br />