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APPLICATION FOR ELECTRICAL PERMIT <br /> WbHly <br /> C1TY OF EVERETT <br /> BUILDING DMSION <br /> ?200 CEJAR STREET <br /> EVERETT,WA 98201 259-88;0 <br /> ��. ��-� l�1�110 C��,I r�4 IZd P�ll�u��e. 6v. �i-��a� <br /> Owner) �� Mail Address City State/Zip Phoae <br /> « <br /> Tenant Mail Address . Ciry State/Zip Phone <br /> /G�� <br /> Electrical ContncWr Mail Address City State/Zip Phone StateLicenseNo. <br /> � .` � .�ie��/�ir'O <br /> Contnct Price of Work Proposed Uu af Building <br /> �63a,2 �.�,� l�i�✓ (ur�� 11JT `� <br /> Project Address <br /> Descriptiou of Work to Be Done: �_G�T��G..C�" DO lG <br /> i ' NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> ' HEALTH CARE FACILTfIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW 1'HE STAT&APPROVED PLANS BEFORE CI1'P OF EVERET PERIvIIT WII.L BE ISSUED. <br /> NOTE:W[RING IN NON-DWELLINGS TS REQUIRfiD TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I FifiREBY CERTIFY THAT I HAVE READ AND EXAMINED 3'HIS APPLICATION AND KNOW Tf�SAME TO BE TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDWANCES (;OVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED WITH WI3ETHER SPECffIED HEREIN OR NOT. THE GRANTING OF A FERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAf, LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATtON IS MADE AND I COMPLY W1TH <br /> TF�STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> x $ �oo <br /> �.� :������G..�C `7�9-�� Fa—�— <br /> Signemro � Date <br /> eieoerr�isroal <br />