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CITY OF EVERETI' <br />HUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />O�. Q�� � <br />Owner <br />S ��, <br />Tenant <br />-' �1�1,!P�nt `. `��, o�/er' Ia'�" (011� <br />APPLICATIGN FOR Ei,ECTRICAL PERMIT <br />�aS��� �.\'l9Vro� <br />, �`l�Z <br />Mail Address <br />5S G��%, <br />Mail Address <br />Mail Address <br />Contract Price of Work <br />5�.� as �����, <br />Project Address <br />Descriptic� of Work to Be Done: <br />,-� <br />�,. <br />City <br />State/Zip <br />259-8810 <br />Phone <br />City State/Zip(� Phone <br />1 �QQ��� �O��Q� <br />��� �►�29� �,o <br />City State/Zip ph ne State Liceose No. <br />. �S S�q 1p <br />Proposed Use of Bui1B ng <br />l� <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICF.L WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEAL7N CARE FACILITIES BE APPROVED BY 7'HE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STAT'E APPROVFD PLANS BEFORE CiTY OF EVERET PER1vfIT W1LL BE ISSULD. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I AEREB! CERTIFY'I'HAT 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 WITH WI-igTHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMI'f DOES NOT PRESUME <br />TO GIVE qUTHORITY TO VIOLA7'E OR CANCEL THE PROVISIONS OI� ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AU'I'HORIZED BY THE <br />OWNER OF THiS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AP:D I COD4PLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� �� �-�7--py F�_r��,�8 <br />Signature Datn <br />