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APPLICATION FOR �LECTRICAL P�R11iIT <br /> CITY OF EVERETT <br /> BUILDIDIG DIVISION <br /> 3200 CEDAR STRPET <br /> EVERETT. WA 98201 <br /> 259-88I0 <br /> � ) <br /> F �L � �v I� �r���s� lD ,r� ,n� �!) s.���l�.M �sG ,�rr4, 9�-� �0_ s� �'-2is�► <br /> pwuer Mail Address City State/Zip Phone <br /> Tenant Mail Address City S�ate/Zip phone <br /> 5�,J'-)7��_ <br /> 'I�o`s �=��=c�F�� � i�o r��4 6� 3 S..��o�,s�, vA-�s��.-���3 f�oS �����9r��- <br /> Ele{c[ri—cal Contrac[or �vfail Address Ciry State/Zip Phone Slate License No. <br /> 0 6�U � <br /> � �ti <br /> Conlracl Price of Work I-.��.;osed Use of Building <br /> 13i � �yf <br /> Project Address - <br /> Description of Work to Be Done: SC—ILUI L�' VA �Y 2 Wr 1� t—" <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGT6N. APPLICANTS WITH SUCH :OBS <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 ME1'ALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE R.r,;D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE• <br /> AND CORRECT. ALL PROVI�T.O�•]S OF LP_':J5 AND ORDINANCES GOVERNINfi THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETFicR SPECIF?ED HEREIN OR NO'C. THE GP.ANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATc OR CANCEL THE PROVISIONS OF ANY OTHER STATE nR LOCAL LAW <br /> REGULATING CONSTRL�CTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AU'fHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATIUN IS MADE AND ] COMPLY WITFI <br /> THE STATE CONTRACTOR> LAW 18.27 RCW AND 296.200 WAC. <br /> x ��G���'� —9 _ <br /> � <br /> i-y �i- F� ��� <br /> Sienature Date <br /> �'/, I ! � <br /> decnpp(3/5/g71 <br />