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APPLICATION FOR �L�CTRICAL PERMIT <br /> CIT']' OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREE'1 <br /> EVERETT, WA 98201 <br /> /> 259-8810 <br /> �iC tlGla�— <br /> � - ;)l rs 0/� cn�/� / LGi��i��c�' i.9 ,�✓c'z� .—r Lc�� l/'��03 �� G� <br /> Owner Mail Address Ciry State/Zip Phone <br /> Tenant Mail Addre�s City Slate/Zip Phone <br /> �/(/J�h� <br /> Elutrical Contractor Mail Addrcss City State/Zip Phoae State License No. <br /> Contract Price of Work Proposed Use of Building <br /> (vao i ��.,a���r:c «��-�� <br /> Projut Addrus <br /> Description of Work to Be Done: QQ/)/n/U n�0 VL � Lcf C� //VS 'Td Ti�c �uS'C <br /> NOT��WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MIJST 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 WOItK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PE•RMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLA7'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANC� 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 /> X � - • ' <br /> �L«� 1,�. a .� - - F� <br /> Signamro Date <br /> l�3�-3 53 <br /> �i«o�P c��s��� <br />