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CITY OF EVEREI'1' <br />BUILDING DMSION <br />3200 CEUAR ST'REET <br />E��TT, WA 98201 <br />CN�M��r��' <br />vwner <br />Tenant <br />APPLICATION FOR ELECTRICAL P'ERMIT <br />,��!/�G� <br />��. <br />��,, / <br />l��an� �� (�°���l�o <br />� r� � a- � ��- <br />Mail ,'�ddress <br />Mail Address . <br />�il�n�" �Lca-��i�'iG �f� ,Q� <br />Elutrical Contnctor Mail Address <br />�,b, vo <br />Contract Price of Work <br />S�5 /'���SvI✓ <br />Ptojut Address <br />Description of Work to Be Done: <br />City <br />City <br />City <br />Proposed Use of <br />State/Zip <br />Statr,/Zip <br />���'-Y�ll <br />259-8810 <br />Phone <br />Phone <br />Phone State License No. <br />NOTE: WAC 296-46-140 REQUIRES '(TiAT PLANS FOR EL.LCTRICAL WORK AT EDUCATIONAI„ INSTITUTIONAL OR <br />HEALTH CARB FACII.TTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI'('H SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMTI' WIL.L BE ISSUED. <br />NOTE: V✓IRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC .4I�ID AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO L�;i TRUE <br />AND CORRECI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNIN3 THIS TYPE OF WOItK WILL BE <br />COMPLETED WITH WHETf�IER SPECIFIED HEREIN OR NOT. THE GRAN'1'ING OF A PERMIT DOES NOT PRBSUME <br />TO GNE ADTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THH PERFORMANCE OF CONSTRUCTION. TAAT 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 CGNTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� 9Sa <br />Fee �.� <br />elecorP (3/s/97) <br />