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CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />161MM <br />APPLICATION FOR ELECTRICAL PERMIT <br />f'h7L$i1J� AV Tf4C'✓i) <br />Mail Address <br />259-8810 <br />City State/Zip Phone <br />S,OyAe IYO/ ?d?e 2 Eti6-15rr TTZ.1 mt5&-fzzz <br />TenantMail Address City StatelZil Phone <br />MAsreR- [RAPT f, Ef7P IL - c` G-K 44L KIRKLAtJb CJ-A C'I W33 <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />ACTS <br />Contract Price of Work Proposed Use of Building <br />_/y/a- &AC 4- <br />Project Address <br />Description of Work to Be Done: CAPLh.e DE M&c -tLCC- C,IZ ., <br />N E IJ F=6ED g P— 5 <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, Il'IST17UTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. A•'PLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVE_°.EI' PERMIT WH-L 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 CORPEcT. 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 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION 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 />X <br />-a/ - y3 I, Y3.vs <br />Dale <br />d..pp P/S1931 <br />