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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVEREI'T <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98?Al <br />�.�'���c / <br />owner <br />S �4� <br />rmme <br />Mail Add�ess <br />Address <br />� /�(t,«�.E I�r,.i�Q. <br />Ciry <br />City <br />�,x._ �MrS l7t',� S.f_ g,,�p�—uJ� � <br />Mail Addrcss City Slate/Zip <br />�/7v� <br />ContnU Price of Work <br />Projxt Address <br />S4telZip <br />State/Zip <br />P6one <br />S�f�t�xtfn4� /f.fFF6„ . <br />Proposed Use of Building <br />Description of Work to Be Done: SECtq2i! y�N� <br />Phone <br />Phone <br />S4te Licease No. <br />NOTE: WAC 296-46-140 REQLRRFS THAT PLANS FOR ELEGTRICAL WORR AT EDUCATION.AL, INSTITUTIONAL OR <br />HEALTH CARE FACILITTES BE APPROVED BY Tf� STATE OF WAS�i'INGTON. APFLICANTS W1TH SUCH JOBS <br />MUST SHOW Tf� STATE APPRUVED PLANS BEFORE CTTY OF EVERET PERIvIIT WILL BE ISSUED. <br />NOTE: WIRWG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY 7'HAT I HAVE READ AND EXAMINED THIS APPLtCATION AND KNOW Tf� SAME TO BE TRUE <br />AND CORRECC, pLL PROVISiONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. 'THE GRANTING dF A PERMTP DOES NOT PRESUME <br />TO GNE AUTHORII'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEP. 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 FOR WHICIi APPLICATION IS MADE AND I COMPLY WITfi <br />'I'F� STAT� CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br />7 <br />Signaturo <br />F �1G;�� <br />de �epp (3lSl9J) <br />