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APPLICATION FOR �L�CTRICAL P�RMIT <br />C17'Y OF EVERLTT <br />IIUTI.DING DIVISION <br />3200 CEDAR STREET <br />LVERETT, �'�'A 98201 <br />/� <br />'A►' <br />y <br />� <br />j� •� -1� ����������c i( �.% 5 3�( — �-/�' h1 /`iL )�� ��f�� �'� �,����,� 'l��G, -_7�.13 -v�a8' <br />Owncr Mail Address City State/Zip Phone <br />� [ ( � I� � v ('r � <br />Tenaeit Mail Address Crty State/Zip Yhone <br />��. �� <br />=; �. ,5 ^,:•. � � — �jd"�(.�� - � ' G. /�l2Gf <br />LI 'cal Contnctor Mail Address City State/Zip Phone State License No. <br />��,�1 c,J �,% ./ /� ;�• ��7 �I u 1 Y�/ i� l� <br />CJ �1 �% � _ 1 i<!. Y-t � 4�'i'1'7 1�7� f 1 C � <br />Contrect Price of Work Proposed Use of Building <br />c � � <br />�i �u�1 �I�r ��.r�-� � -��,�1 <br />r�o��� naa«s <br />Dcscription of Work to Bc Done: <br />�� <br />N07'E: WAC 29G-0G-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTfi CARL- FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOIIS <br />i�4UST SHO\V THE STATL APPROVL-D PLANS BEFORE CITY OF EVERET PERI�IIT \:'ILL BE ISSUED. <br />NOTE: WIRING IN NON-DWLLLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HFREBY CERTIFY THAT I HAVE RL-AD AND L•XAMINED THIS APPLICATION AND KNOW TFiE SAA1E TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7'HIS TYPE OI' WORK WILL BE <br />COriPLETLD 1VITH �VHETHER SPECIFIED IIEREIN OR N07'. 7'HE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCL•L THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PLRFORMANCL- OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />01VNL-R OF THIS PROPLR7'Y TO PLRFORM TIiE 1i'ORK FOR WHICH APPLiCATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 29G.200 VVAC. <br />\ <br />Signalure <br />_lr�"�l � <br />� 7 � � <br />[�HIC <br />Fee �I�/ <br />clecnpp (JIS/971 <br />