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L� <br />�C) , <br />\' <br />i <br />CITY OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVLREIT, WA 98201 <br />,�. <br />APPLICATION FOR ELEC�RICAL PERMIT <br />259-8810 <br />'k__6��a G�..G;� i�m ��.��t.K,E.�a�lc 9P-/o a ��-o-�szao <br />U:mer � Mail Address City . State/Zip Phone <br />Tenant <br />Electrical Con[ractar <br />� /Rd <br />Contract Price of Work <br />Address <br />Mail Address <br />� <br />�C/�l.� N�fe� <br />City <br />,��,1.,����.�y <br />City State/Zip <br />Proposed Use of Building <br />/.�o �S'E �r�r�u7.f��l,s� ?�l�sct �`a-/D <br />Projut Address <br />State/Zip <br />Phone <br />Phone <br />State License No. <br />Description af Work to Be Done: �.e�.il�����7���y�L/`� ��e:t�.G(/.dlf�lt��_ <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACJLTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH ST;CH 70BS <br />MUST SHOW Tf� STAT'E ARPROYED PLANS BEFORE CTTY.OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIt2ED TO BE IN METALLIC RACEWAYS (MC AND nC, 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 CORRECI'. ALL PROVISIONS OF LAWS AND ORDWANCES GOVEIWING THIS TYPE OF WORK WII,L BE <br />COMPLETED 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 CONSTRUCI'ION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEI2FORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WTI'H <br />THE STATE CONTRACPORS LAW 18.27 RCW AND 296.200 WAC. <br />G! <br />Signature <br />9 <br />Date <br />Fee � a . <br />�� � ��clecaPP (lJSl93) <br />