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CITY OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />E\'FRETT, WA 98201 <br />Owner <br />�, I � <br />Teoant <br />Electrical Contractor <br />� j���1 a <br />Contract Price of Work <br />Proj�ct Address <br />AP�LICATION FOR GLECTRICAL PERMIT <br />Mail Address <br />Mail Address <br />Description of Wurk to Be Done: <br />Addrcss <br />L <br />� <br />City <br />City State/Zip <br />SF�L� <br />Proposed Use of Building <br />State/Zip <br />State/Zip <br />I .4 .'�[l� � � � <br />Phone ^ lo �S�aRg <br />IV �fd <br />Phone <br />Phone <br />NOTE: WAC 296-46-140 REQUIItF.S THAT PL,4PIS FOR ELECTRICAL WORK AT EDUGATIONAL, INSTI'I'UTSONAL OR <br />HEALTH CARE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW Ti� STATE APPROVbD PLANS BEFORE CTTY bF EVERET PERNIIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br />NOT RACEWAYS). <br />I FiEREBY 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 vRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTY.ER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTIO;. OR THE PE.RFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TfiIS PROPERTY TO PERFORM THE WOItK FOR WHICH APPLICATION IS MADE AND I COMPLY WITA <br />T"rIE STATE CONTRACTORS LAW 18.'L7 RCW AND 296.200 WAC. <br />�/ <br />Signatur:, <br />Date <br />>� <br />-"��`/ clecaPP (il5l9J) <br />