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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> SUILDING DIVISION <br /> � 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-88f0 <br /> ��cNA� b���rvt/}N �j/�!Z � �j��F��"��-- �/E�CE7"T (�J�- �'/'�2G> >"3- 5960 <br /> Owner Mail Address City State/Zip Phone <br /> S,�}W�L <br /> TenanS - � Mail Address City State/Zip - Phone <br /> a �.1 � �� <br /> Electrical Contractor Mail Address City State/Zip phone State License No. <br /> � <br /> �t Si I�CnI TS <br /> Contract Price of Work Proposed Use of Building <br /> b � � � /�P�FF �L <br /> Project Address . <br /> Description of Work to Be Done: N C� LR�GEK $CY� �'�,JS �t��70e�[FEL (.��yL�Nc <br /> � AD�1T/ON <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUITONAL OR <br /> HEALTH CARE FACILIITES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH IOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF 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 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRbCT, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WTTH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING QF A PERMTT DOES NOT PP,ESTJME <br /> TO GIVE AUTHORITY TO VIOLATb 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 AYPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X IL�e!'�' ' /' �i— �/ �0� / / Fee <br /> Signature Date <br /> �3�0� <br /> oi��env(�isioi� <br />