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AP,PLICAT10N FOR �L�CTRIC;AL PERIVIIT <br /> CITY OF EVERETT <br /> HUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERSTT, WA 98201 <br /> 259-8810 <br /> i , - <br /> -�U..� �<;� �i� �,�- i � ��;��..., .��:4i' � i 7 � . i . ���}� � �', �.:.''� A�e���( Il�i} 1 r>i�l° � ��'�,(r�, � <br /> Owaer Mail Address � City State/Zip � Phone <br /> ,�,r� <br /> Tenant - � � � Mail Address - . City State/Z.p � Phone <br /> 1�� � _ � � L <br /> ; 4 i, i_,. � � i 'i i i <br /> � � 1� � I , �4-,� I � � � � � —'� �� �'. 1 �',' �����-��'.' ��;7�. <br /> Electrical Contrac!or Mail Address City State/Zip Phone� State License No. <br /> �,� _ i ,,;C �� . �yF11 <br /> Contract Price of Work Proposed Use of IIuilding <br /> � �- 1I ,"_) ��-�(�,i r� �-�� ,�� l-� 1 � �_ �� rt <br /> Project Address � � <br /> Description of Work to Be Done: _ � '�A�-;�<•. �l�� ��C, --,�l � � . . � <br /> i <br /> . .1 �i .i . ( ` � 1 � � . <br /> '1 . <br /> � <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE AAPROVED PLANS BEFORE CiTY bF EVERET PERIv1IT WILL BE ISSLTED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I H.\VE READ AND EaAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOiATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTI�JN OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED IIY THE <br /> OWNER OF TfIIS PROPERTY TO PERFORM T]fE WORK FOR WHICH APPLICATION IS MADE Fv�ID i COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 29G.200 WAC. <br /> X <br /> n — <br /> .. y��/I ' - - ' . � Fe.;, G _� — <br /> Signature . Dute <br /> � ���(' i <br /> decepp(!/5l97) <br />