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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISI014 <br />3200 CEDAR STREET OL <br />EVERETT, WA S3201 259-8810 <br />Owner Mail Address City State/Zip Phone <br />av� l /% 7 S^� z [n • lI laG� W-� i r r lr' i/ l 4 ? I �5-3- 3s:r - <br />Tenant Mail Address City State/Zip Phone <br />f Z�c i-)o r3v1 ioa j vy l FS .si, F c' c �> ; 2- <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />Contract Price of Work Proposed Use of Building <br />Project Address <br />Description of Work to Be Done: <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITLMONAL OR <br />HEALTH CARE. FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. 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 EXAM`:aED 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 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 />R (J �' a2/`?U Fee >i `;i -- <br />Date <br />ctccopp (315/971 <br />