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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERE'IT, WA 98201 <br /> 259-88f0 <br /> _��c,G C��PG Q_ '�'a.3 ��G.�1/1� � �ic� ,�� ��'d.0 3 <br /> Owner Mail Address City State/ZiP Phone <br /> � \ �C <br /> Tenant . Mail Add�ess . <br /> City State/Zip Phona <br /> �.�. a <br /> Elxtrical Contractor Mail Address City State/Zip Phone State Licease No. <br /> � ZOo.c� S� R <br /> Contract Price of Work Proposed Use of Building <br /> ���� N-e�a-1�,�� �;c� <br /> Projxt Address <br /> Description of Work to Be Done: �' ) l� � �I�GJ C� YC1-Y i r ���5 <br /> t-U i r� c1- i,.�,� <br /> ' NOTE:WAC 296�36-140 RfiQUIREg '('$pT PLANS FOR ELECTftICAL WORK AT EDUCATIONAL, INS:ITUIT(;,�AI,OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APpROVED PLANS BEFORE CITY OF EVERET PERMIT WII;I,BE ISSUEll. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AAID pC, ARE CABLES, <br /> NOT RACE'.VAYS). <br /> I IiHREBY CERTTFY THAT I HAVE READ AND EXAMINED'fHIS APPLICATION AND KNOW TI�SAME TO BE TRUE <br /> AND CORREC'I', qL,L, pROVISIONS OF LAWS AND ORDIN/�7CES GOVEIWING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHE'I'HgR 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 CONSTRiiCTION OR THE PERFORMANCE OF CONSTRUCITON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PkOPERTY TO PERFOF,M Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WlTH <br /> THE STATE CONTRAC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> </l%lo.s <br /> � " ��� 9/�/�3 <br /> Fee�� _ <br /> SignaNrn , Date <br /> clecepp(!1S193) <br />