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APPLICATION FOR �LECTRICAL PERMIT <br />crrY or �vE�1-r <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />� � ' , , i <br />� <br />�� .;��� � �'�-�fii �" �-lf�S� l��.� ; <br />Owner Mail Address <br />Teuant <br />Electrical <br />Mail Address <br />Address <br />City �State/Zip <br />/�/� <br />'I�►� � <br />i <br />Phone <br />City State/Zip P6one <br />J',�'C�—'iG�'C� <br />o. ,. <br />�, <br />-�i � •v �i'�C �%�'i'i � /, �,' � <</��� �� y�S��k <br />Sfate/Zi� Phone State License No. <br />Contract Price of Work Proposed Use o! Building <br />i � <br />' / <br />��� l� �`,�"c.(��%�.��. '�,-Ci Li <br />Project Address , � <br />i � <br />Description of'�i'ork ta IIc Donc: /� "1%i <br />�i / <br />, <br />/c1 5 - ���/17�/.� <br />NOTE: WAC 296- t6-140 REQUIRES THAT PL.ANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE rACILiTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI'I'H SUCT' JOBS <br />MUST SHO�V THE STATG APPROVED PLANS BLFORE CITY OF EVERET PERMIT WILL BE ISSUEll. <br />NOTE: WIRING IN NON-DWEL �INGS IS REQUIREU TO BL- IN METALLIC RACEWAYS (MC AND r\C, ARE CABLES, <br />NOT RACEWAYS). <br />1 IIERE-BY CERTIFY THAT ?'IAVE READ AND EXAMINED THIS APPLiCATION AND KNOW THE SAME TO BE TRUE <br />AND CORR�CT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />C01�4PLETED 1VITH WHETHER SPL•CIFIED HEREIN OR NO'C. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTiIOkITY TO V10LATE OR CANCL•L 7'HE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONS1'RUCTION OR 'iHE PERFORMANCE OF CONSTRUCTION. 7'HAT I AM AUTHORIZED BY THE <br />OWNLR OF'THiS PROPGRT'Y TO PERPORM THE WOR}: FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH <br />THE STATG CONTRACTORS LAW 1S.27 RCR' AND 296.200 WAC. <br />Signature <br />� /-��'� <br />, <br />Date <br />� <br />� S�� <br />� �� <br />�� �� <br />F� -- .�- C'C <br />daepp (!/519J) <br />