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A.PPLICATION FOR �LECTRICAL PERMIT <br />CIT'P OF EVERETT <br />SUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />�-1 $ � <br />259-8810 <br />JQSSs1C'rt- ��1"V�5 fi- t�-L-�-1 �a7c..1� �v�rz� l�/�— ����D( 33�3G:.37 <br />Owuer Mail Address City State/Zip Phone <br />Teoant <br />dl�l�Le.� <br />Elxtrical Contracror <br />Contract Price of Work <br />Mail Addrcss <br />Mail Addrcss <br />�C%n � ( '�(�a v�dl <br />Project Address <br />Description of Work to Be Done: <br />City <br />City State/Zip <br />5 n� ' � <br />Proposed se of Building <br />Stace/Zip <br />Phone <br />Phooe <br />State License No. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARF. FACII.TTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WTI'H SUCH JOBS <br />MUST SHOW Ti� STATE APPROVED PLANS BEFORE CffY OF EVERET PERMI'I' WILL BE ISSUED. <br />NO'fE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAY5). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TFiE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br />COMPLETED WITfi WHETHER SPECIFIED HEREIN OR NOT. THE GRANI'ING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLA7'E OR CANCHL 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 rOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />�Fee <br />clecaPC (!!5/9JJ <br />