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� �- <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> C1TY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 98201 <br /> 259-8810 <br /> ��j�nu G�-� ly�t�o �l ,P�/ ,�.� /�/,/��,�.r- 9S'r�� 6y�/-�3�3 <br /> Owne� Mail Address City State/Zip Phone <br /> Twant � Meil Address . Ciry State/Zip Phane <br /> �G — �� <br /> Electrical Cootractor Mail Address City State/Zip Phone State Licwse No. <br /> S� o���1sr0 <br /> Contnct Price of Work Proposed Use of Building <br /> S6 0� / pGy�U/T� �S-ne �� .S� <br /> Project Addrcss • <br /> Description of Work to Be Done: <br /> ' NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTTTUTlONAL OR <br /> HEALTH CARE FACII.TI'IFS BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WI'fH SUCH JOBS <br /> MUST SHOW TEffi STATE APPROVED PLANS BEFORE C1TY OF EVERET PERMTT 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 CER'flFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND I:NOW THE SAME TO BE TRUE <br /> AND CORREGT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL Ir1W <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTTON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> 1'I3E STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> �i��� <br /> X <br /> �i�/ �1GC/ �//� 9—��'�3 _ Fce <br /> Signature Date <br /> ciccepp(!IS197) <br />