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C1TY OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Owner <br />Teaant <br />-, <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail <br />Address <br />Contnctor Mail Address <br />�i(GO �%tr �/n�.'� <br />Contract Price of Work <br />City State/Zip <br />City <br />City State/Zip <br />/ ivoiC c / l <br />Proposed Use of Building <br />836 /�CUS7 � _ <br />Project Address <br />Description of Work to Be Done: <br />State/Zip <br />Phone <br />FL� <br />259-8810 <br />Z Z. <br />Phone <br />Phone <br />State License No. <br />�p�(/r i�i i�'' �r rAi� �id��Cf 4/iT/I A-�G� .�/.4v�Lw S� SG/.K�/s Ati� SeMr�c�,�Y�/s <br />NO i4o��J�/bn�.►� �o�e�s or Ci�e �r .9/�e/ f> L..v �s — <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAI., INSTITUTIONAL OR <br />HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TTi SUCFI JOBS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE CTTY OF EVERET PER2vIIT WII.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 TFUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TffiS TYPE OF WORK WII.L BE <br />COMPLETED WITH WHETHER SPECffIED 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 Tf� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WTTH <br />Tf� STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />7C �� /� G <br />Signature <br />Date <br />Fee���i �1 <br />elecnpp (!1S193`� <br />