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CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREEI' <br />EYERETT, WA 98201 <br />S/� , <br />Owner <br />APPLICATION FOR ELECTRICAL PERMIT <br />/ � d % -z �, C <br />Mail Address <br />City <br />,�v3� <br />Phone <br />�°hh ���,n�.'erS��n ��O/ �or�,%�Rr<Q �✓erc'1'i i/Jn. /s'LC/ <br />Tenant Mail Address City � State/Zip Phone <br />d lJ h z � <br />Electrical Contractor <br />Contract Price of Work <br />Mail Address <br />City State/Zip Phone State License No. <br />SF{� <br />Proposed Use of Building <br />� 3 i., c� / L �,., b �,- �0 C�✓.z re i�y G.) �.%Q �i <br />Project Address <br />Description of Work to Be Done: a� l� ..-, A C� r'� ,._ ,� � r-u, � cr �O 'Y s'x / r/i �� <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILTTIES 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 Ok'�INANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRHSUME <br />TO 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 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 sfli°-u,-�ti� �' �t�tn <br />�' - / S � � c,i <br />Sionature Date <br />��Pee <br />decorp (3�5r9n <br />