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� � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> �Gr�i. C.,`���{'� ��1�//D l��,L���KA .�t��r� � �'/aE�aY cS�/�/—e73�3 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> � �'�� <br /> Elxtrical Contnctor Mail Address City State/Zip Phoae State License No. <br /> � SL-ie .%025/�1NlJ <br /> Contract Price of Work Proposed Use of Building <br /> 1� / r / y <br /> I Jr�.�7 ftrGL'G:.i L-�1�- LO7 y /Y�=�y <br /> Project Address <br /> / <br /> li Description of Work to Be Done: _ ��L+���L'ilG G���' !" <br /> 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 /> j MUST SHOW TF�STA1'E APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WILL BE ISSUED. <br /> ; <br /> ' NO'i'E: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 THIS APPLiCATION AND KNOW THE SAME TO BE TRUE <br /> ! AND CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVEItNING TAIS TYPE OF WORK WII.L BE <br /> � COMPLETED WITH �YHfiTHER SPECIFIED IifiREIN 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 L.4W <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 APPLICATION IS MADE AND I COMPLY WITH <br /> THE STnTE CONTRAGTORS LAW 1E.27 RCW AND 296.200 WAC. <br /> X �/ .7 <br /> �'�// � tt��/G � �—�/�� Fee <br /> Signature � Date <br /> ���,� a� <br /> o�eonrr(3�s�o, <br />