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APPLICATION FOR ELECTRICAL PERMIT <br /> Ha�ag <br /> CITY OF EVERETT <br /> BUILDING DMSIJN <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 98201 <br /> 259-88f0 <br /> /��GrlGJ ///'i?Y7 ��/�//D �C� ../'lll� �d si,�� !r-r' QQ�L� �—�,�3 <br /> Owner Mail Address Ciry Smte/Zip Phone <br /> Tenant � � Mail Address . City Smte/Zip • phone <br /> TE-// <br /> Elxtrical Contractor Msel Address City State/Zip Phone State License No. <br /> .S'�.t� elo��4fn� <br /> Contract Price of Work Proposed Use of Building <br /> SGo2� ��,��:�:���.,c Lof /� <br /> Project Address � . <br /> Description of Work to Be Done: �C6�i� ��G� W/�G/nt� — �Q � �� (� <br /> NOTE:WAC 296�36-140�REQUIRES THAT PLANS FOR ELECIRiCAL WORK AT EDUCATIONAL, INSTTTUITONAL OR <br /> HEALTFi CARE FACII,TI'IES BE APPROVED ',Y TFIE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVER�T PERIvIIT WII.L BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLiNGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TFiIS APPLICATION AND KNOW THE SAME TO B&TRUE <br /> AND CORREC!'. ALL PROVISIONS OF LAWS AND ORDWANCES CQVSRNWG TH1S TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHETFIER SPF.CIFIED HEREIN OR NOT. THE GRP.,\.YNG OF A PERMTT DOES NOT PRESUME <br /> TO GIVF. AUTHORTI'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTFiER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCI'ION OR THE PERFORMANCE OF CCINSTRUGTION. THAT I AM AUTHORIZ6D BY Tf� <br /> OWNER OF THIS PROPERTY "O PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACI'ORS LAVd 18.27 RCW AiVL 196.200 WAC. <br /> X ,/,1���',D .�'.� _ .� <br /> � 9-�r--�3 F� � <br /> Signature Date <br /> clecapp(SISI97) <br />