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APPLICATION FOR �LECTRICAL P�RMIT <br /> C[TY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERE•'IT, WA 98201 <br /> 259-8810 <br /> �ag CN�IIU�I -71�b 7(11J1 �EYL D(�, EU�E1i GUl�- 9k20.3 �/"-¢3l� <br /> Owner Mail Address City State/Zip Phone <br /> Tenant - � Mail Address City State/Zip - phone <br /> l�i�ln4!`�J <br /> cal Contrector Mai! Address City State/Zip Phone Slate License No. <br /> Conlract Price of Work Proposed Use of Bcilding <br /> ��o� �� .�� � <br /> Project Address � <br /> DescriptionofWorkto ?3eDone: �� ���'LL �2�Z//� �C�L /'—U/2 ✓L��/�„1 �/U� <br /> Poo � , <br /> NOTE:WAC 296-46-140 REQUIRES 'fHAT PLANS FOR ELECTRICAL WORK AT EDUCA7'IONAL, INSTITUTIONAL OR <br /> HEAL7"H CARE FACILITIES BE nPPROVED BY THE STATE OF WASHINGTON. APPLICANI'S WITH SUCH ]OBS <br /> MUS1'SHOW THF.STAT'E APPROVED PLANS BEFORE CITY OF EVERET PERMIT�'�'ILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACE'NAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED'iHIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRFCT. ALL PROVISIONS OF LAWS AND OKDINANCES GOVERNING 7'HIS TYPE OF WORK WILL BL- <br /> COMPLETED WITH WHETHER SPECIFIED HL-REIN OR NOT. THE GRANTING OF A PERAIIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Or ANY OTf:ER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRL'CTICN. THAT I AM AUTHORIZED BY THE <br /> OWNLR OF THIS PROPERTY TO YERFORM THE WORK FOF W:31Cl� APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 29G.200\1'AC. <br /> � � � 2 � Fee� <br /> Signawre Dale <br /> ��,� y�/ <br /> �i«,�,�pisi?�� <br />