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A.PPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUII.DING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> -��j� ���iyi�c� /'��t>,/,P/ /���� �,�«s-� G�� <br /> Owner Ma�l Address � 'z� � � <br /> C�ty State/Ztp Phone <br /> Tenant Mail Address <br /> City State/Zip Phone <br /> / C%� <br /> Elutrical Contractor Mail Address City State/Zip Phone <br /> State License No. <br /> E---=-0l��`/f-' <br /> Contract Price of Work Proposed Use of Building <br /> �—%i.� �1�i'1'%l� �� / � fi 01 e (L <br /> Pro�ut Address �--'—, <br /> Description of Work to Bc Done: �1�7i �jf��7— �j/C <br /> NOTE:WAC 296-46-140 REQUIRgs T'fiAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEAL.TH CARE FACII.ITIHS BE ApPROVED BY THE STATE OF WASHINGTON. APPLICANfS W]'1'H SUCH JOBS <br /> MIIST SHOW THE STATE APpROVED PLANS BEFORE CITY OF EVERHT PERMIT V17LL BE ISSUED. <br /> NOTE:WIRiTJG IN NON-DWELL,[bIGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I I-IEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TH&SAME TO BE TRUE <br /> AND CORRECI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BH <br /> COMPLETED WIT'J-J WI-IETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHpRITy 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 THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'[�H <br /> T'HE STATL• CONTRACTORS LAVV 18.27 RCW AND 296.200 WqC, <br /> X <br /> -.������ ��ll /� ��� ��� <br /> S�gnaturo F��_ <br /> Date <br /> c� Z`�� <br /> otecnrP C��5�97j <br />