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- --, <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> C1TY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 987AI <br /> 259-8810 <br /> /��/oNc� �r� /y��ro ��a,/.�.�,�/�//P���� �'y;���� <br /> Owner Mail Address City State/Zip Phone <br /> Tenent Mnit Address City State/Zip Phone <br /> ���� <br /> Elxtrical Contractor Mail Addrcss City State/Zip Phone State Liceose No. <br /> s.G a� /�o <br /> Contnct Price of Work Propaud Use of Building <br /> S7D8� l'l�^� L�l%�� lr'�� / <br /> Project Address <br /> �/� l�,,'� i ( <br /> Description of Work to Be Done: //�/� /'�Jf� �i1//2�./�7l'i <br /> ' NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WST1T[TIIONAL OR <br /> HEALTH CARE FACII.TTtES BE APPROVED BY THE STATE OF WASHII�IGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW TT3E STATE APPROVBD PLANS BEFORE C1TY OF EVERET PER1vI1T 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 /> T HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Tf�SAME TO BE TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TFIE <br /> OWNER OF TFIIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> ;/��/� 1��%�/u-� �'-1�--�'ij F� <br /> Signature Date <br /> !�V�� elecepp(315/97) <br />