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CTfY OF EVERETT <br />BilILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Owner <br />� <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Address <br />City State/Zip <br />2J <br />/�,. <br />A►' <br />: � <br />O wIJE�Z <br />Twant Mail Address City State/Zip Phone <br />o w�e 2. <br />Elxtrical ContncWr Mail Address Ciry S4WZip Phone Stace Licease No. <br />Contract Price of Work <br />_�ii� AC� <br />Proposed Use of Building <br />"� � --�� �• � . <br />� ., r. ► ,,. ., � . . • ... <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTlONAL OR <br />FiEALTH CARE FACILTTIES BE APPROVED BY TI� STATE OF WASHINGTON. APPLICANTS WITfi SUCH JOBS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE C1TY OF EVERET PERiufIT 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' � BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WOkit WII,L BE <br />COMPLE'i'ED W1TH WHETFIER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAI'6 OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TiiIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANI) I COMPLY WITH <br />THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signeture <br />_? -/G-�¢ <br />Date <br />�3�1 / <br />Fce �� <br />clecepp (3I5/9?? <br />