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APPLICATION FOR �LECTRICAL PERMIT <br /> CITY OF EVERETT � � <br /> BUILDING DIVISION � rJ <br /> 32C�7 CEDAR STREET <br /> EVERETI', �VA 98201 259-8810 <br /> I�,�� i �e c✓ �lo�.�so� l7/£�f�.�� �'✓'�r..�� �, a.s'9�� 9 <br /> Owner Mail Address City State/Zip Phone <br /> .��'/�!-P <br /> Tenant Mail Address Ciry State/'Lip Phone <br /> Elcetrical Concracto� h'.ail Address City State/Zip Phone State Licease No. <br /> cJ//7 tG /-E /-4'� '�i.o <br /> Contract Price of Work Propo ed se of Building <br /> �7�0 / /� ' <br /> Projut Address <br /> Description of Work to Be Done: �pq�'a �P T_ �C C Q��/// s'e �' f/! G P <br /> � <br /> � /2W/� '!' AOfi � r — <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARL- FACILITIES BE APPROVED BY TH� STATE OF WASHINGTON. APPLICANTS WITH SUCA ]OBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CTTY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HERLI3Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO RE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL IIE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY 7'O 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 /> 01�VNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> .. � � ,�� <br /> . /o`t f� 9 — F� <br /> Signatur�: Date <br /> ���yv7 <br /> oi«arr�rsm., <br />