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APPLICATICIN FOR ELECTRICAL PERMIT <br />CIT'Y OF EVERETT <br />BUILDING DIVISION <br />3200 CET�AR STREET <br />EVERETT, WA 98201 <br />c I; <br />•`� �J�j,7v�Y"iU O <br />O.wer <br />Tenant <br />Electrical Contractor <br />2� ���,�� <br />Mai1 Address <br />Mail Address <br />� <br />Mail Addrus City <br />��� ��- <br />City <br />City <br />lJ ��}' • �1 y� <br />Slate/Zip <br />State/Zip <br />E <br />259-88Y0 <br />Phone <br />Phone <br />Phoue State License No. <br />—�-baa' �CDO .QGc h�c9q '�-(�`'`'-� �'_ " - <br />Con[ract Price of Work Proposed Use of Building <br />�i �- 2. $ 'Zc� ?�— i� "�'t' <br />Project Address �--- � <br />Description of Work to Be Done: 1.� �'w Se/ �� �-�-s ��e� ��ea o 1d. ov�; � <br />%%tW C��i c c � h-� I L M'Fr.T '{-N+�' �VJC 'I'�L'riT � _ <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTiONAL OR <br />HEALTH CARE FACII.TTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE C1TY OF EVERET PER2vIIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIREJ TO BE IN METALLIC RACEWAYS (MC AND AC, ARE Cf1BLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVfi READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WIiL BE <br />COMPLETED W7TH WHETHER SPECli iED HEREIN OR NOT. THE GBANTING OF A PERh1IT DOES N01' PRESUME <br />TO GNE ALTHOFtT^( TO VIOLATE OR ^.ANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTR.UCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPFRTY TO PERFORM THE WORK FOR WHICH APPLiCATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 13.27 RCW AND 296.200 WAC. <br />1� <br />Signature <br />iI <br />Dale <br />V � <br />ciccnPP C�/S19:' <br />