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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 OL <br />259-8810 <br />! r. ' <br />Owner <br />Mail Address <br />City <br />State/Zip <br />Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />P1iAIWC� 'L C-"laCJiMtL PO (31Y T-?STJ Cv�l:!_ - ,e A iY7A1 33iV33toZ GlMzuii frB' <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />—4-to'cT= 1000 <br />Contract Price of Work <br />Project Address <br />Proposed Use of Building <br />Description of Work to Be Lone: o 1 k <br />L\)ew n r-ec, L , S� R-e� 1 �,�tn.T �-wl� rive. r�t:-rv-r / <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOX ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE 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 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 V• ".ATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTIO;, OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />M <br />Signature <br />Date <br />62, <br />clecapp f3/5193t <br />