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CITY OF EVERETI' <br />IIUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Ownw <br />r <br />� <br />APPLICATION FOR �L�CTRICAL P�RMIT <br />Mail Addrcss <br />City <br />/-lciir.,�. Y�Us s Ir�fi��c "I <br />Elalrical Contractor Mail Address <br />Contract Pricc of Work Pr000sed Uu <br />�,} 33 .Lna�siz /'idct �? <br />ProjectAddrcss " <br />Description of Wark to Be Done: <br />r <br />�rvs�y <br />� <br />259•88f0 <br />Phone <br />���v . <br />AGTIOV <br />Z . y71. _ . <br />Stale License <br />N07'F.: WAC 296-06-140 REQUIItES TliAT PLANS FOR ELECTRICAL WORK AT EDUCATTONAL, W51'ITITfIONAL OR <br />HE:ILTH CARE FACILTfIES BE AYPROVED BY THE�S7'ATE OF WASHIN3TON. APFLICANTS WCfFI SUCH IOBS <br />MUS'C SHOW THH STA7'E APPROVED PLANS BEFORE CITY OF EVEREf PERMIT WILL HE ISSUED. <br />NOTE: N7RiNG IN NON•DWELLINGS iS REQUIRED TO HE W METALLIC RACEWAYS (MC AND AC, ARE CADLES, <br />NOT RACEWAYS). <br />I IiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLiCATION AND KNOW THE SAML• 7'O BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORGWANCES GOVERNING THIS TYPE OF WORK WILL HE <br />COhfPLETED WITH �i'HETHER SPECIFIED HEREIN OR NOi�. THE GRANTING OF A PERM[T DUES NO'C PRESUME <br />TO GNE AUTHORITY 7'O VIOLA7E OR CANCEL THE PROVIS10N5 OF ANY 9TliER STATE OR LOCAL LAW <br />REGULATING CONSTRUCI'ION OR THE PERFORMANCE OF CONS?RUCf10N. 2'HAT I AM hUTIiOR(ZED BY THE <br />OW1rER OF TIiIS PROPERTY TO PERFORM TfiE WORK FOR WHICH APPllCA'fION IS MADE AND I COMPLY WITH <br />7'HE STATE CONIRAC7'ORS LAW I8.27 RCW MID 29u.200 NpC. <br />X•�j�/ � <br />�— 1+ . . <br />Signn�ure <br />cic:npp plSl9J1 <br />