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APPLICATION FOR ELECTRICAL PERMIT <br />CTI'Y OF EVERETT <br />BUII.DING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />259-8810 <br />Tenant <br />�dr C� <br />Electrical Contractor <br />Cantract Price of Work <br />�_�JC> f i' .t,' Y � <br />Projxt Address <br />Mai1 Address <br />Mail Addrcss <br />Descriptiou of Work to Be Done: <br />City <br />City <br />Building <br />State/Zip <br />��� �3�-��e� <br />Phone <br />Phone <br />Licease No. <br />NOTE: WAC 296-46-140 REQUIRE$ 'I'HAT PLANS FOR ELECTRICpi, Wpgi{ AT EDUCATlONAL, INSTITUT'IOt iAL OR <br />HEALTH ChRH FACII.ITIES Bfi qppROVED BY TFIE STATE OF WASHINGTON. APPLICANTS WI1TI SUCFI JOBS <br />MiJST SHOW '('[� STATE AppROVED PLANS BEFORE C1TY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND qC, ARE CABLES, <br />NOT RACEWAYS). <br />I AEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TI� SAME TO BE TRUE <br />AND CORItECi', qLL PROViSIONS OF LAWS AND ORDINANCES GOVERNING THIS TYpfi pg Wpgg W�LL gg <br />COMPLETED WI'('g Wg�HER SPECIFIED HEREIN OR NOT. T[-IE GRANTWG OF A PERMIT DOES NOT PRESUME <br />TO GNb AUTHpRI7y 7�0 VIOLATE OR CANCEL THE PROVISfONS OF ANY OTHER STA'I'E pR LOCAL LAW <br />REGULATING CONSTRUGTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY Tf� <br />OWNER OF THIS PROPERTY'f0 PERFORM THE WORI{ FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRqC7'ORS LAW 18.27 RCW AND 296.200 WqC, <br />� <br />%O /� <br />Signaturo <br />Date <br />�sf <br />Fee 2 $ -- <br />�t«eav �isrvn <br />