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CI'Ii' OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Ouver <br />�� <br />Tenant <br />� ���h <br />Elutrical Contrzctor <br />Contract Pri^e of Work <br />�oa y L� <br />Project Address <br />APPLICATION FOR �L�CTRICAL PERMIT <br />Mail Address <br />Mail Address <br />Mail Address <br />Description of Work to Be Done: � <br />�n � <br />City <br />State/Zip <br />City State/Zip <br />259-8810 <br />3� - <br />Phone <br />City State/Zip � Phone State License No. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL W9RI: AT EDUCATIONAL, INSTITUTiONAL OR <br />I�'EALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLTCANTS WITH SUCH JOBS <br />MUS'f SHOW Tf� STATE APPROVED PLANS BEFORE CITY OF EVERET PERNSTT WILL BS ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC F.ACEWAYS (MC AN'J AC, ARF, CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY TIiAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME Ta BE TRUE <br />AND CORRECT, qLL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WILL BE <br />COMPLETLD WITFi WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS ON ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OFi THE PERFORMAI�lCE �F CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFURM THL PlORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STAi� CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />7 g� 73 <br />Dale <br />$ 11 �V <br />Pee�_ <br />elecapp (JIS/93) <br />