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APPLICATION FOR �LECTFtICAL PERMIT _ <br /> CITY OF EVERETT <br />' BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVI"sRETT. WA 98201 <br /> 259-88Y 0 <br /> ��.L? �rE�/LNS �yS3 ,u� /3g �irklc��` Cu� Cf`3y Zc� � �z�-�z �� <br /> Owzier Mail Address City State/Zip Phooe <br /> ��� �ac�c�� �P2 Lb,.,..�4,�l i��cv-e�"� �,�y�-� "�1��2d I 7-S L- `iiC�� � <br /> Tenaut Mail Address City State/Zip P6one <br /> ����� ���� <br /> .5�1'4.LJ.J1:.�� <br /> Electrical Contractor Mail Address City State/Zip Phone State License No. <br /> 5�,� _ <br /> Contract Price of Work Proposed Use of Building <br /> Project Addresr, <br /> Desaiplion of Work to Be Done: �� � 5 � W�<i-'�^"� �Le`�d <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUI'IONAL UR <br /> HEALTH CARE FACILTTIFS BE APPROVEI� BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT 4JILL BE ISSUED. <br /> NOTF.:WIRING IN NON-DWELLINGS IS REQUIRLD TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIrY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> ANU CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WfrH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A YERIv:IT DOES NOT PRESUME <br /> TO GNE AUTHORITY 1'O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I .Ahf AUTHORIZED BY TI-IE <br /> OWNFiR Or THIS PROPERTY TO PERFGRM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STE.TE CONTRACTORS LAW 18.97 RCW AND 296.200 WAC. <br /> X ;-\ / ,�I -7j (lU� <br /> UI� G <br /> �'' � �-- /Z-/s-53 F��a�� <br /> Signature � Tate <br /> dccopp(!/5/9J1 <br />