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C1TY OF EVERETT <br />BUII.DING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Owner <br />,� <br />� <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Address <br />� �� <br />Tenant Mail Address <br />N�� <br />City <br />City <br />State/Zip <br />State/Zip <br />�/ SUPt*R1dR E'dCR04J /?o a�, n�r-a��-rr n,��ar��.� u,�R- �o i, �'v� <br />Electrical Contractor Ma�l Address City State/Zip Phone <br />. NoRTN�uESTFiRu {�1i6cu/7rTy �Yy��rg� /�y�77l7ff�4�. ��3�9Si� <br />Contract Price of Work <br />Proposed Use of <br />��1leT. AO _ �}���� <br />Project Address <br />259-8810 <br />Phone <br />Phone <br />3S'3—O?00 <br />State License No. <br />� - • � � � • • C - � � - i i � i _ ' i v / u n i i • � � I _ 1 <br />i ! /� � I) L/ `/• I <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 nF WASHINGTON. APPLICANTS WIT'H SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERIv1IT WILL HE ISSUEA. <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 TAAT I HAVE READ AND EXAMINED TA.S APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORREC[', 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 />'f0 GNE 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 I COMPLY WfI'H <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signature <br />Date <br />Fee <br />clecoPP (7/5/a; <br />