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—. —. <br /> APPLICATION FOR ELECTRICAL PER?vIIT <br /> CITY OF EVERETT � L / C <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> n� „� I,✓�f,.�� H G_3�� �r� ss 3.�y s�� <br /> �wner Mail Address ' Ciry StatelZip Phone <br /> � �y/—e <br /> Tenant Mail Address Ciry State/Zip Phone <br /> C'o r r, cYo r <br /> Elcetricnl Contractor Mail Address City State/Zip Phone State Licensa No. <br /> S/�9 /-0 7�9ki�^� <br /> Contract Price of Work Propos se of Building <br /> Projxt Address <br /> Description of Work to Be Done: �' /��.a o 9 ��[7� S�a 1' ✓/ C -P � <br /> I.✓'r.� ' c/ <br /> � <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEAI.TH CARE FACILTfIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WiTH SUCH JOBS <br /> MUST SHOW'I'f�STATE APPROVED PLANS BEFORE CITY OF EVERET PERiviTT WILL BE ISSUED. <br /> NOTE:WIRWG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERT'IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AIdD KNOW TF�SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WII.L BE <br /> COMPLEI'ED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCIION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TA <br /> THE STATE CONIRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> n /� <br /> X i" � �� � Fee d� <br /> Signature Da;e <br /> c .)< ' j� <br /> decapp(!IS/97) <br />