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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 4= <br />259-8810 <br />CV GRETT NwS t NJ Av 'TrFc-y2 1 7`� <br />Owner Mail Address City State/Zip Phone <br />6AW6 /ye/ ?dT[h1L Eti &*C-r Yfzol ztS�- fz27- <br />Tenant - Mail Address City State/Zip Phone <br />M AS:1sR CAAPT c%EC TPIC K q q L KIRKLAsJb GJA Ct 90:1 <br />Electrical Contmctor Mail Address City Stale/Zip Phone State License No. <br />AP75 <br />Contmel Price of Work Proposed Use of Building <br />Project Addmss <br />Description of Work to Be Done: I92 Ncw PLt;e_ CtCS. <br />NE1 1'EE1D 61L5 <br />NOTE: WAC 296-46.140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH LOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL 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 CORRECT. 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 19.27 RCW AND 296.200 WAC. <br />X <br />Dale <br />93 Fee '/a. vs <br />decapp (315193) <br />