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APPLICATION FOR �LECTRICAL PERMIT <br /> `''�.:� �� <: <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STRL•ET <br /> LVERETT, WA 98201 <br /> 259-8810 <br /> �il-L`kOTF(�(' /�4�'rek 7���:� ��cTt,�J S; z'c�fiL'c:r!" Gu�� ld'-r'i�l .�59-/�2� 1 <br /> Owucr T1ai1 Address Ciry Statc/Zip Phoue <br /> Tenanl Mail Address . City State/Zip Phonc <br /> J�j o�-� oY37s-130L`�Y�vCNF- �(Oz <br /> �� s�s,��,S,iNC b��c�v«E�rn.�R 9�i�i'� JiXc�-SPI-7131 J-�l7EALSi QJ7�ID3 <br /> E-Icctrical Contractor Mail Address City Stale/Zip Phone State License No. <br /> �� <br /> Coalnct Price of Work Propo�:d Usc of Building <br /> S>4 M�� �l� ,i�-l�9 Cl E � <br /> Project Address • <br /> Descriplion of Work lo Be Done: S�GLt�(� S 4�CTf'/Yl <br /> NOTE:WAC 296-06 i40 REQUIRES THAT PLANS FOR ELECTRICAL WORK FT EDUCATIONAL, INSTIT[JTIONAL UR <br /> HEALTH CARE FACILITILS BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> T4UST�:iUW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PL•RMIT WILL IIE ISSUED. <br /> NOTL:WIRING IN NON-DWELLiNGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CER"CIFY THAT I HAVE READ AND EXAMIN6D THIS APPLiCATION AND KNOW THE SAME TO BE TRUE <br /> AI:D CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLETED VVITH WHETHER SPECTFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULP.TING CONSTRUCTION OR THE PLRFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPiICATION IS MADE AND I COMPLY VVITH <br /> THE STATE CONIRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> ` � F���3D. c9� <br /> Signaturc _ Date <br /> cic<opp(S/5193) <br /> � <br />