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APPLICATION FOR �LECTRICAL PERI�IIT �.�o��I13 <br /> CIT'Y OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8&10 <br /> ,�G_�f/v'��1�77'�/�l%/G� /�-! ,�'���%�c'.� /_��/ca-rx 6�i`/-�3F; <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address . , City StatelZip Phone <br /> E�cal Contractor Mail Address City State/Zip Phone State License Nu. <br /> O�f�Jns� <br /> Contract Price of Work Proposed Use o�Building <br /> /7 .�'�.� : /,r�w'C�..-,� CE�� S�/ <br /> Project Address • <br /> Descriptian of Work to Be Done: ,JC'9oA �l.'i'..2'� �' .� <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXI.MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS A1JD ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED v/ITH WHETHER SPECIFIED HERE:N OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORTTY TO VIOLATE OR CAN�EL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR TFiE PERFORMANCE OF CONSTRUGTION. THAT I AM AUTHORIZ.ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W17'H <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> G C' <br /> X ,,���',�/,d,--s�,�� -� `�- � <br /> .> �%��3 Fee� <br /> Signature Date <br /> elecopp(lISl93) <br />