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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />259-8810 <br />'! O�7 � <br />// � i <br />1T0/Y12cJOCZ� Dev�./aprYvitj' �'' /�f!K J577 LL//�/'uS� �C' ��fl GPlJ�C� 7�j'G� :i':ioz¢ <br />Owner Mail Address City State/Zip Phoue <br />Tenant <br />Electrical Contractor <br />Contnct Price of Work <br />Mail Address <br />Mail Add:^ss <br />City State/Zip <br />City State/Zip Phone <br />Phone <br />State Liceuse No. <br />n�euJ (�UnS';'�ur%/,m Y`,r`1cZCv)f1a� /�OU�C- <br />Proposed Usc of Building <br />G���P l�nQC.lSG`v�� �VCf'e� — <br />Project Address <br />Descri�tion of Work to Be Done: <br />�449 S , F , _ <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEhLTH CARE FACII.ITIES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW TF� STATE APPROVED PLANS Br".FORE CTTY OF EVERET PERIv1TT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED ^..'O BE IN METALLIC RACEWAYS (MC AND AC, AItE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY TH.4T I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVEIWING THIS TYYE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECiFIED AEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATJNG CONSTRUC'"ION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PRUPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAti' 18.27 RCW AND 296.200 WAC. <br />X // �j — �� —�� �.���o <br />/1 • ��(E� \`%liCl�/�l�/CLz 7� i�s- ,_3 Fec <br />Signature . Date <br />elccnpp �!!5/93) <br />