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C1T'Y OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 9820i <br />i � <br />ic�-��" F � a n e <br />Owner <br />— /1/�Y1— .. <br />Teuant <br />�`IY�i% �i U`� <br />Electrical Contractor <br />Contract Price of Work <br />� 7/3 L�, �.,-e r <br />Project Address <br />APPLICATION FOR �LI�CTRICAL PERMIT <br />Mail Address <br />Meil Address <br />City <br />City State/Zip <br />/� <br />'A►' <br />� <br />aQb-3$3-�}3l3 <br />Phone <br />Phone <br />Mail Address City State/Zip Phone State License No. <br />Gv�sT roa,-� <br />Proposed Use of Building <br />l�e vei�t <br />Description of Work to Be Done: �f'.�/ �L�� W/�//vG ����'7 ,Fn/Si /��' i�'fin�,�G <br />.1 �/ �'�?AG�r To Poe o,/�o,� //CJ�? 2 c l�fi'G T-o �c���r/ <br />.�L�/.L'y .�'F'i�L'� ,�F"/' /��v.E /�.G'�..v�'�; <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PEP.1v1IT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN ML-TALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TAIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 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 PFOVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PbRFORMANCE 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 WITI3 <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� <br />n <br />Siona[ure <br />:;/>�� � <br />Dat� <br />Fee <br />�i«orr �isi93> <br />