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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET OL <br />EVERETT, WA 98201 259-8810 <br />ABC. rUNE * We l/06 Sb CAW, W. " /0/ 66LC17 -q&0v <br />Owner Mail Address City State/Zip Phone <br />4,L lRii6+L48E 1106 S Cvcne1T^►.cwy4101 66W 64, 9p2oP 69&9-%00 <br />Tenant Mail Address City State/Zip Phone <br />�a,r>.. nf� i 1►►� Dn R.LY111mmn WA 99299 771•813S WI NACoM43 <br />dlectrical Contractor Mail Address City State/Zip Phone State License No. <br />f49 Owe CoA iewelf}c <br />Contract Price of Work Proposed Use of Building <br />U0& SE 6S64&r .Wwt- WY 5t4lM /0/ <br />Project Address <br />Description of Work to Be Done: INS %i�7�I I s s LV 7S940 /1—wM(NATW IVM'L <br />NOTE: WAC 29646-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL 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 />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 />X 0a" <br />Signature <br />h//3�--)- <br />Date <br />Fee 3 D <br />ciccapp (315193) <br />