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CIT'1' OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVF,RETf, WA 98201 <br />Owner <br />Teaaat . ' <br />�, (. +��� n i.i <br />Elc 'cal Contractot <br />Contract Price of Work <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Address <br />Mail Address <br />3Go! FVti� ttA„ <br />Mail Address <br />1.2.�1.c� � V <br />City <br />City <br />-�u.uctl` 'cfJ <br />City State/Zip <br />Proposed Use of Ruilding <br />!o hra d rso,.� • <br />Project Address <br />Description of Work to Be Done: <br />StatdZip <br />State/Zip <br />/� � <br />//�/��J <br />i <br />i� �. <br />. <br />Phone <br />Phone <br />Phone Slale Liceau No. <br />L= y�/�Nss l �2 �P <br />� <br />NOTE: WAC 296-46-140 �REQUIRES THAT PLANS FOR ELECfRICAL WqRI( qT EDUCATIONAL, INSTITUTiONAL OR <br />fIEALTH CARE FACILITIES BE APPROVED BY THS STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APpROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORREC'I', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL B� <br />COMPLETED WTTH WHETHER SPECIFIED HERESN 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 />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORTZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICii APPLICATION, IS MADE AND I COMPLY WITf�I <br />THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WqC. <br />Signature <br />,$7c%O <br />elecapp (3/5/S <br />