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CITY Or" EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STRFET <br />EVERETT, WA 98201 <br />u['re Ncus•ti <br />Owner <br />Teuan- [ / dA !'� <br />Ac tie,�t-4A, ,� <br />Electrical Contractor <br />Cont�act Price of Work <br />�Gi�f �,.i,�r.i� <br />Project Address <br />APPLICATION FOR ELECTRICAL p�R1V*:iT <br />Mail Address <br />Mail Address <br />��a r, y <br />Mail Address <br />Description of Work to Be ilone: ��M�V P <br />City <br />City <br />, <br />-,�...� �(ii �'8: <br />City State/Zip <br />��9N(�1� (,9 r./ S.�n.y <br />Proposed�Use of Building <br />3u.� <br />State/Zip <br />State/Zip <br />Phone <br />Ntcv <br />//�/�.__I <br />��0 <br />I <br />Phoue <br />Phone <br />State License No. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEAi.TIi CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CTTY OF EVERET PERMTT WIL,L BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS RfiQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A?PLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORA,fiCT, pLL PROVISIONS OF LAWS qND ORDINANCES GOVI3RNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITIi WHETHFR SPECiFIED HEREIN OR NOT. THE GR.4NTiNG 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 CONSTRUCf10N. 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 IR.27 RCW AND 296.200 WAC. <br />X <br />Sienature <br />�� � l` 3 <br />Date <br />� <br />��,��� �/,) <br />clecnrp (9/5/971 <br />