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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 9820_ <br />I SON BE4514 /4�tLk)y C-v&2,Frr I. A. 9?zD? 422-099/ <br />Owner Mail Address Ctty�tate/Zip Phone <br />YEN LL4 C&*7r �n' 9�zog /22� 099t <br />Tenant Mail Address City State/Zip Phone <br />V02RY )y6w 13G. rU • b-6'-K 52 <br />Electrical Contractor Mail Address <br />A3r79o'5� <br />Contract Price of Work <br />City State/Zip Phone Stale License No. <br />_60MMEfLI - <br />Proposed Use of Building <br />12 os -;j� LVOW- Hr /A'Yt'1-L 1A)A41 <br />Project Address Cc ' <br />Description of Work to Be Done: �il/iT'f► t—t Z�56T Al� 1zL"U M 1'v+T9w 1-6:170/0'5 <br />P/ Ai w t� <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASH NGTON. APPLICANTS WITH SUCH JOBS <br />MUST 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 WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED 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 />REGULATING CONSTRUCTION OR THE PERFORMAA'CE 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 />91 <br />Fee <br />etecepp (315193) <br />