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, � 2/ <br /> �� <br /> APPLICATION I+'OR EL�CTRICAL PERMIT <br /> � <br /> CIT'Y OF EVLRETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVEItETT, WA 98201 259-88Y0 <br /> Dorman . Marshall ,7r _ z�� a r���-�iLn1�e Everett 9H9pt 252-6760 <br /> Owner hfail Address City State/Zip Phone <br /> Teoant Mail Address . City State/Zip Phone <br /> Tinnell Electric 17805 1 q <br /> Electrical Contractor Mail Address City State/Zip Phone tate �cense o. <br /> $150 .00 ��.-�� <br /> Contract Price of Work Proposed Use of Building <br /> Same as above <br /> Project Address • <br /> Descriplion of Work to Be Done: Furnace Hook Up <br /> NOTE:WAC 296-46-140 REQUIFtES i'HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH 70H5 <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PBRMIT WILL BE ISSUED. <br /> NOTE:WTRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HLREBY CERT:FY THAT I HAVE READ AND EXAMINLD THIS APPLiCATION ANll KNOW THE SAME TO BE TRUE <br /> AND CORREG'C. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED P.TTH WHETHL-R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PLRMIT DOES NOT PRESUME <br /> TO GNE AUTI-IORITY 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 WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> 1 . <br /> x <br /> i „ <br /> � ' �_ <br /> ' - \ `r", /.�;_:< ; '� f/�1 � r" r i c ' F� 2s .00 <br /> Signature . Dale <br /> <lecapp(!IS/93) <br />� <br />