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C C <br /> APPLICATION FOR ELECTRICAL PERNII'I' <br /> CTfY OF EVERETT <br /> BUII.DINC3 DMSION • <br /> 3200 CEDAR STREET <br /> EVERETC,WA 981A1 <br /> 259-8810 <br /> Owner Mail Address City Svte/Zip Phone <br /> ���s gl� ro gc�- �D4��, �9�s w � ��c��r 6� <br /> Twmt , Mail Address . Ciry S4te/Zip • � P6oae <br /> CDv�ST S �-� �.�e�.`� W 1A� 4�� Zltl <br /> Elxtrical ContncWr Mail Address Ciry S4te/Zip Pb Sute License No. . <br /> ��� -� ��z, z � r��. s� �,i� �.Q� W���z �,..����. <br /> �rc� .� . <br /> Contnct Price of Work � Uproposed Uu of Buildiag <br /> � �c:.xJ �'i;lOf-�(N�a� -l �Sl�u� '�N+o.�...'�^ (��(,p� <br /> Project Address , <br /> Description of Work to Be Doae: �IAS��� l��yv�� (x)��/` �G�X ��y,.�� �W p,�� <br /> �..._ ��,,o�.����� <br /> NOTE;WAC 296-06-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTTTU'ITONAL OR <br /> IiEALTH CARE FACILITIES BE APPROVED BY'Tf�'STATE OF WASHINGTOIV. APPLICANTS WI'fH SIICH JOBS � <br /> MUST SHOW T'F�STATE APPROVED PLANS BEFORE CITY OF EVERET PERtvIIT WII;L Bfi ISSUED. <br /> NOTE:WIRING W NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CER'fIFY THAT I HAVfi READ AND EXAMINED THIS APPLiCATION AND KNOW THfi SAM&TO BE TRUfi <br /> AND CORREC('. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS TYPfi OF WORK WILL Bfi <br /> COMPLETED WiT7; VVFIETHgR SPECffIED HEREIN OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUM& <br /> TO GIVE AUTHORTI'y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATING CONSTRUCI'ION OR THE PERFORMANCE OF CONSTRUCI70N. THAT I AM AUTHORIZ6D BY Tf� <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLiCATION IS MADE ATID I COMPLY WiTH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X . <br /> � Fee <br /> Signaturo ate <br /> / <br /> ���� <br /> � ,s�� <br />