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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUIL.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 259-8810 <br /> ��a�`7� �,a��.csi,�� ln� � L/_1U2CC �C' TvF�� W/.i SSZo) <br /> p�ef Mail Address City State/'Lip Phooe <br /> 5���E <br /> Twant Mail Address Ciry StatdZip Phone <br /> � .,�U�. - ��P C �y/(p CLFUTt�LUrA i=VF.�z� W�- <br /> Electrical Contractor Mail Address City State/Zip P6one State License No. <br /> 2 y�.�, ¢Esiorivc t <br /> Contract Price of Work Proposed Use of Building <br /> �loZO �. ����..,n <br /> Project Address <br /> Description of Work to Be Done: ���� NF� �'�'�F <br /> I, <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTCCUTIONAL OR <br /> HEAL'ffi CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS � <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvfTT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY TI�AT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Tf�SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEItNING T:iIS TYPE OF WORK WILL BE <br /> COMPLETED �'ITH WHETHER SPECIFIED HEREIN OR NO'C. THE GRANTING 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 CONSi'RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORiZED BY THE <br /> OWNER OF TIIIS PROPERTY TO PERFORM THE WOW{ FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ������--� <br /> % 7//�c '�i Fee ;i� — <br /> Signaturc . Date <br /> 1 ���1 <br /> � � � � <br /> �i«err n�sro31 <br /> I� <br />� � <br />