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CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />APPLICATION TOR ELECTRICAL PERIVIIT <br />/t10 W, <br />Mail Address <br />City. <br />OL <br />259.8810 <br />Phone <br />/qLL Twj& 4-106 Sri. �✓r, r19a cu/ /a/ City✓/alas Cr.N <br />Tenant - MeB Address Slnte/Zip Phone <br />Af,LgF,2ytes- fruicf/Nr /6SlG lelVAXU"e acrl 9Bc92;W'C;J Z/ A6ICc16Z(7-r4- <br />Electrical Contractor Mail Address City State/Zip Phone State License No. . <br />z-6[JG ,Lyx'F KTyNf OF <br />Contract Price of Work Proposed Use of Building <br />/J06 5'£. e,-vr/1Ac, /y svrE /a! <br />Project Address , <br />Description of Work to Be Done: J26 G d acl77C S/7C 4 r6nT a°/k (L/=E S / ! N S 7Ac c Ourc c- r S <br />_�a2o? cdP� fix' lcQr./P . <br />NOTE: WAC 296-46-140 REQUIRES TIIAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WSTITUTIONAL 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 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 />REGULA724G 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 />X <br />Jr Fee �O�60 <br />Date <br />L1110/ <br />