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A.PPLICATION FOR �LECTRICAL PERII�IT <br /> C1TY OF EVERETT <br /> BUILDING DIVISION �;� <br /> 3200 CEDAR STREET � <br /> EVEREI'I', WA 98201 <br /> � 259-8810 <br /> , / C� / <br /> - VR►Jc�En1 �k�C 7Z� `� �/u��Pe�c .ue.ce�� w�q • ad''Zo3 <br /> Owner Mail Address C�ty State/Zip Phone <br /> �f1/YI�. <br /> Tenant . . . . . Meil Address . . City Stale/ZiP ' Ph�ne <br /> S�9m� <br /> Electrical Contractor Mail Address City State/Zip Phone State License No. <br /> Contract Price of Work Proposed Use of Building — <br /> Projut Address � <br /> Descriplion of Work to Be Done: /CL��.t.to S t 2 u i ee- - Gt�o G�n�p E � 2_Dd �p�� <br /> NOTE:WAC 296-46-;40 REQ?TIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIL-S BE APPROVED BY THE STATE OF WASHINGTON. APYLICANTS W1TH SUCH JOBS <br /> MUST SHOW THE STA'I'E APPROVED PLANS BEFVRE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIR7NG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACr WAYS). <br /> I HEREIIY CERTIFY THAT I HAVE READ AND LXAMINED THIS APPLICATION AND KNOW TH&SAME TO BE TRUE <br /> AND CORRECT. NLL PROVISIONS OP LAWS AND ORDINANCES GOVERNING THIS TYPE OF }VORK WILL BE <br /> COMPLLTED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIOIJ. 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 RC1V AND 296.200 WAC. <br /> X , <br /> t�� /��'�.7,� y�- �- �3 F� 3� <br /> Signa im , Date <br /> �/���" <br /> �i«orr C�isrv» <br />