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.� <br /> APPLICATInN FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREfiT' <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> ��r�Ct����r��ro.t��l/�,��./r�u.� 9� �Sy�-��.z.� <br /> Owner / Mail Address City State/Zip Phone <br /> Twant �� Mail Address . City S4te/Zip Phona <br /> ��� <br /> Electrical Contnctor Mail Address City Shte/7.ip Phone State License No. <br /> s��a�� <br /> Contract Price of Woric ' Proposed Uu of B.: ling <br /> : � .w-�1 ��J �i� L�! ov� 1 <br /> Project Addrcss . <br /> Description of Work to Be Done: __ i�%�/ f7��/� �it���lf?g <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> HEALTH CARE FACILiTIES BE APPROVED BY THE 51ATE OF WASHINGTON. APPLICANfS W1TH SUCH JOBS <br /> MUST SHOW Tf�5fA7'E APPROVED PLANS BEFORE CITY OF EVERET PERMTf WII,L BE ISSU&D. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRLD TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTTFY THAT I HAVH READ AND HXAMINED THIS APPLICATION AND KNOW TF�SAME TO BE TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED WITH WHETHER SPEQFIED HEREW OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATTNG CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TFLS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPL[CATION IS MADH AND I COMPLY W1TH <br /> THE STATE CON1'RACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> / <br /> " � �G ���0-« <br /> Fee <br /> SignaNre Date <br /> �3�� I <br /> elecepp(J/3/93) <br />