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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREE. <br />EVERuIT, WA 98201 <br />OL <br />259-8810 <br />0 A (R "3 1 3 �)r n t-Vi✓ r c7 ? lap 'I $ J-,t( <br />Owner Mail Address City State/Zip S 3 Phone <br />Tenant Mail Address City State/Zip Phone <br />4 k tq °� i�. C U .2 71 9- %T' :) — t. V s (CZ T ( wP Qe2c 1 �qtt 171greell4cq <br />Contractor Mail Address <br />Contract Price of Work <br />3 So <br />Project Address <br />City State/Zip Phone State License No. <br />C11�1=1L <br />Proposed Use of Building <br />Description of Work to Be Done: 1 e 2 1-1 ( 1 (U IC% i= C i I C k <br />i- !"lo�icN FL00' <br />C,VY uii Kr nre SCie of e.< <br />3 ta'r r- rn N <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE. STATE APPROVED PLANS BEFORE CITY 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 HEREBY CERTIF f THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 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 THE <br />OWNER 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 />X <br />Signature <br />Date <br />FeeJ13 <br />a i32� <br />clecapp (3/5193) <br />