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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> scoe-4��3 <br /> ��s r 12Z �oho�i�i � `����' � <br /> Ownw M�il Address City State/Zip Phone <br /> �� �� <br /> Tmant Mtil Address Ciry StatelZip P6ona <br /> �(,� (�.� <br /> Elxtrical ContneWr Mail Address Ciry State/Zip Phone State Licenu No. <br /> Cantnct Prix of Work/ Pro sed Use of Building <br /> 2�3Z �/z (��al�t� av�C� ..e,s�� . __ <br /> Projxt Addrcss <br /> Description of Work to Be Done: , �� <br /> NOT'8:WAC 296-46-140 REQU[RES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTTfUTIGNAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MIJST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvfIT WILL BE ISSUED. <br /> NOTE:WiRTNG IN NON-Dh'ELLINGS IS REQUIRfiD TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> , NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Tf�SAMF TO BE TRUE <br /> AND CORREGT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED WITfi WHETHER SPECIFIED HFREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO G1VE AUTHORITY TO VIOLATE OR CA:,CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCTION. TAAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATTON IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296,200 WAC. <br /> � <br /> X � ���- a��'��� `�- Fa <br /> Signaturo Date <br /> �3�y� <br /> ele<ePp(!l5/9Jj <br />