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— <br />,-- <br />APPLICATION FOR ELECTRICAL PERMIT <br />CIT'Y OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERE'1T, WA 98201 <br />259-8810 <br />[�,'c`,C-��� /��e.�J`ar, �JOip -���.fl�a. W- �ikoNaOr WA 9�1'G2� 9S�/—Zy�� <br />Owner Mail Address City State/Zip Phone <br />Teuant <br />Electrical Contractor <br />Contract Price of Work <br />Meil Address <br />Mail Address <br />City <br />City State/Zip <br />N <br />Proposed Use o uil <br />State/Zip <br />Phone <br />a2.�1.�9 �e c�e ra � /4 ve, <br />Project Address <br />Description of Work to Be Done: / ��2 w r��Q'�''T O�" pN��" ���' <br />/�/RW .Onnp_� 00)C2S — r�i`� /q-rv�(� �PfJ�c`{� <br />Phone <br />State License No. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br />MUST SAOW Tf� STATE APPROVED PLANS BEFORE C11'Y OF EVERET PERMIT WII,L 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 HERHBY CfiRTTFY THAT I HAVfi READ AND EXAMINED THIS APPLICATION AND KNOW Tf� SAME TO BE TRUE <br />pND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WII.L BE <br />COMPLET'ED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOE° W.OT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCITON OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM '1'f� WORK FOR WiiICH APPLICATION IS MADE AND I COMPLY WITH <br />Tf� STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X /.2-�0 �93 <br />�-�.r,� _ � _ <br />Signature Date <br />, /3oS5 <br />�1 <br />F� �%b <br />eleeaPP (lISl9)1 <br />