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CITY OF EVERETT <br />BUILDIN�3 DIVISION <br />3200 CED�Vt STREET <br />EVERETT, 'vVA 98201 <br />Owner <br />APPLICATION P,OR �LECTRICAL PERI�ZIT <br />Mail Address <br />,v � �.� � ��[ <br />City State/Zip <br />259-8810 <br />- I�2� <br />Phone <br />��1�� <br />Tenant . Ma�l Address City State/Zip � Phonc <br />�.\�J.a <br />Electrical Contractor Mail Address <br />� a�D. o0 <br />Contract Price of Work <br />Project Address <br />Ducription of Work to Be Done: <br />City State/Zip Phone <br />S�2 <br />Proposed Use of F uilding <br />1 r?� � ��C-f�v � L <br />State Licease No. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELEGTRICAL WORK AT EDUCATIONAL, INSTITU7'iONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASffiNGTON. APPLICANTS WITH SUCH JOBS <br />MUS'C SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PF.RMIT WILL �E ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRLD 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 II& 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 GRAA'TING OF A PERMIT DOES NOT PRESUME <br />TO GNE .AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LA\V <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED IIY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATICN IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 ]i"�V AND 296.200 WAC. <br />Signature , Date <br />i� <br />i; <br />7,�', <br />!� <br />J <br />clecepP (3/519J) <br />