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:� <br /> APPLICATION FQR EI,ECTRICAL PEIZNIIT <br /> CITY OF EVERETT <br /> BUILUING DMSION <br /> 3200 CED.4R STi'.EET <br /> EVERETT, Wp 98201 <br /> 259-88Y0 <br /> ��1�- �L���� �"���L-�j � � �g2O � zsZ-z507 <br /> O w n e r M az l h d d r e s s C i ty S t a t e/Z�p P hone <br /> �— <br /> Tenant bfail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone State License No. <br /> Contract Price of Work Proposed Use of Building <br /> Projec[Add�ess . <br /> Description of Woric tc Be Done: <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORP AT EDUCATIONAL, INS'ITTUTTONAL OR <br /> HEALTH CARE FACII.ITIES 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-DWELT.TNGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY TIiAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW'I'F�SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 1'I-IIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PHRMIT DC"r,S NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATd OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI70N. THAT 1 AM AVTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATTON IS MADE AND I COMPLY R'I'IH <br /> THE STATE CONTRACTORS W 18.27 RCW AND 296.200 WAC. <br /> � <br /> � �lfi1 (,ll 1,f,(� �, I <br /> X � (�, - � � -� � r� <br /> Signature , � Date <br /> clecepp(!IS197` <br />