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C1TY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />vL11 <br />r <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Addrcss <br />Ps�, �x33� <br />City State/Zip <br />I <br />�„ <br />��►� <br />: � <br />���� <br />Phone <br />/l/oNG— <br />Twant Mail Address Ciry State/Zip Phone <br />zS�.A�v� � c..Ec72ic <br />��.5`i ( (,(�l.tLS 1�A�N� �,�/.4 W,Q. �93si2�,� �rscr,,rE i�,ao <br />Ixttical ContruWr Mail Address City State/Zip Phone �ro Licmm No. <br />�C"/'i i A L <br />Contract Price of Work Proposed Use of Building <br />33az P�N�. s,-. c��.�� w�. <br />Projact Addross <br />Description of Work to Be Done: N�W S��L✓/C E— Z�� ��'"� P, AND %'�Ul2 C <br />f O G 00 �' EG/i''�'� /�/�f !c`' .9 C, L (�M�7(S �'T�/8E� <br />NOT&: WAC 296-+6-140 REQUIRES THAT PLANS FOR ELEGTRICAL WORK AT EDUCATIONAL, INS'ITI'UTIONAL OR <br />H�..�i.;:i CARE FACIIITIES B& APPROVED BY. Tf� STATE OF WASHIIQGTON. APPLICANTS W17'Ei SUCfi 70BS <br />MUST SHOW TFIE STAT6 APPROVEb PI.ANS BEFORE Cl'fY OF EVERET PERMTf WII.L BE ISSUED. <br />NOTE: WIRING IN NON-DWELLWGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). - <br />I HEREBY CER1'ffY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TF� SAME TO Bfi TRUE <br />AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WII.I. BE <br />COMPLEIBD Wfi'H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMTf DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCI70N OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZfiD BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TI� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />7'I3E STATE CON7'RACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Date <br />Fee� <br />ele�app (!/S197) <br />