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� <br />� <br />APPLICATION FOR ELE�TRiCAL PERMIT <br />C1TY OF EVERETT <br />BUILDING DNISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Ivlail Address <br />Address . <br />ContracWr Mail Address <br />c� SGI� <br />Contract Price of Work <br />� �.3/O � <br />City . <br />� s�tn. ��tXiL <br />�Y <br />� Z//� 9S/.� ` <br />City State/Zip <br />Proposed Use of Suilding <br />State/Zip <br />� <br />State/Zip <br />a06 — <br />aA�-�B <br />Phone <br />259-88i0 <br />P6one <br />Phone <br />State License No. <br />Projut Address � <br />Dcscription of Work ta Be Done: ���J � �.in-�� � CLr��� (J <br />� <br />NOTE: WAC 296-46-140 REQUIRES TfiAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUITONAL OR <br />HEALTH CARE FACII.iTIES BE APPROVED BY TI-IE STATE OF WASHINGTON.. APPLICANTS WiTH SUCH JOBS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE CTI'! OF EVERET PERMIT WII.L BE ISSUED. <br />NOTE: WIRING W 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 CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br />COMPLETED WITH WHETI�R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />'CO GNE 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 AUT'HORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TI� 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 />Signatur� <br />Date <br />�i«oar c�rsr9» <br />