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.� <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> �'! Sf�i�,U�' 1S'niu ��� /- ��. i �t. . 1 ��<','<'� S''�'e�n� <br /> Owner Mail Address City State/Zip Phone <br /> Sr'9��� <br /> Tenant � � � � Mail Address � City State/Zip � phone <br /> �����c <br /> �,�-��C� �� ,� /'�o�� ��� �� s� ���� wa ��� �F��nr� <br /> Ele<;tncal Contractor Mail Address City State/Zip phune State License No. <br /> ILCTf ��N�`�� <br /> Contract Pric of Work Proposed Use of Building <br /> �����` /�t�-.�`��+/lav, �.% t7 /' <br /> ro�ect Address . <br /> Descriptiou of Work to Be Done: S i)�L.�J ��I!'6ki�F� V�C1 /` ) //�C�-P li' �L0.�t� p <br /> � <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 JOBS <br /> MUST SHOW TI�STATE APPROVED PLANS BEFORE CTTY 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 I-IEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TR.Ut <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 /> 7'O GNE 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 WI7'H <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � <br /> X ����' ' �a� L7—� � �J Fex �—rs-�— <br /> VS S�� Date <br /> ��5,3� <br /> clecopP(!/5/93) <br />