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C1TY OF EVERETT <br />, BUILDING DIVISION <br />� 3200 CEDAR STREET <br />N <br />� EVERETT, WA 98201 <br />N <br />N <br />'i. Owne� WQ,C�.� <br />T��nant <br />I�I�T ��,.c�„�- 1 �.b <br />�� <br />APPLICATION FOR ELECTRICAL PERMIT <br />Iz5 S 1,v ���e�} 1"���1� 1,��,�.� ���0��1� <br />Matl Address <br />Mail Address <br />��q�� ; �4e�1 �Jl1J <br />Electrical Contractor Mail Address <br />� '����.C>o <br />Contract Price of Work <br />� 1.�LY� Y�' �?�,\ <br />Project Address <br />City <br />City <br />State/Zip <br />P6one <br />State/Zip �n ` ����P o <br />rr � �'� bc� <br />a,�1���- S�- ��1�� �LSIo� <br />City State/Zip Phone <br />Proposed Use of Building <br />State License No. <br />Description of Work to Be Done: �.(L C0 � 4l(S_C� i�l�luQ_I.� -� V'�C ,T v d <br />� <br />NOTE: WAC 296-46-140 REQUIRES THAT PLAI�`S FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <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 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HERE[N OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />7'O GIVE AUTHORITY TO VIOLATE GR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THG PERFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFCIRM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPI_Y WITH <br />THE ST E CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />" I � 3 - ib - �°( � � <br />� <br />Signature <br />Date <br />Fee <br />elecapp (!/SN3) <br />