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( <br />( <br />APPLI��ATION I�'OR �LLCTRICAL P�RMIT <br />CITY OF EVERETT <br />IIUILDING DIVISION <br />3200 CEDAR STREET <br />EVEREIT, WA 98201 <br />259-8810 <br />�� Q� �� a` 1- �� �" v�u�_� 1 1 Wl:�`/�1f�L'� � vU �i \ oCJ� ��iJ '`� <br />Owner Mail A.ddress ' Ciry State/Zip P6one <br />Tcnwt <br />Mail Address <br />Contraclor Mail AdJress <br />� ��. �b <br />Contract Price of Work <br />Project Address <br />�— <br />City Slale/Zip <br />City State/Zip Phooe <br />!� ���,. o. <br />Proposed Use of D'�ilding <br />`�1�- �°1d� <br />P6oue <br />a �s�l�al..� <br />Stale Liccnse No. <br />Drscriotion of Work lo Be Done: <br />L� \ � .y.LL� \LTY C� `ivv -� � �`�++— � <br />NOTE: WAC 296-4G-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCAT[ONAL, INSTlTUTIONAL OR <br />HEALT7-I CARE FACII.ITILS IIE APPROVED BY THE STATL OF WASHINGTON. APPL[CANTS WITP SUCH ]OBS <br />MUST SHOW THE STATE APPROVED 'PLANS IIEFORE CITY OF EVE•RET PERMIT WILL BG ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BL IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HERLBY CERTIFY THAT I HAVL READ AND GXAMINLD THIS APPLICATION AND KNOW THG SAME TO BE TRUE <br />AND CORRL•C'I'. ALL PROVISIONS OP LA�:'S AND O1tDINANCGS GOVL'IiNING 'I'HIS TYPE OI' WORK WIS.L DL <br />COMPLL•TED WITli WHETHER SPGCIPIGD HLRIiIN OR N07'. T[IE GRANTING OP A PLRMIT DOES lJnT PRESUME <br />TO GIVE AUTHORITY TO VIOLATL OR CANCL•L THL' PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />RLGULATING CONSTRUCTION OR THE PGRFORMANCE OP CONSTRUCTION. THAT I AM AUTHORIi::?D BY T1iE <br />OWNER OP THIS PROPERTY TO PERPORM THG WOItK FOR WI{ICII APPLICATION IS h1ADE AND I COMPLY WI7'kl <br />THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />SignaWru , Date <br />�� Fee�_ <br />o�o�erv C��3� <br />