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CiTY OF EVERETT <br />BJILDING PMSION <br />3200 CED.'+R STREET <br />EVERETT, WA 98201 <br />Owner <br />APPLICATION FOR �LECTRICAL P�RMIT <br />Mail <br />>i-r f�lr.� 1= Z� l <br />City State/Zip <br />259-8810 <br />z2L <br />Phoue <br />Tenent <br />U/ Mail Address City State/Zip Phone <br />Elxtrical Contracto� <br />Contract Price of Work <br />�� g �;✓� <br />project Address <br />/(1 nh ? � �CJN� 1�/Y / I//i �P�'/ � �7� �GISQ <br />Mail Address City State/Zip Phone <br />Use of Building <br />Description of Work to Be Done: Y r'� '` " <br />. , � ,� .9 _, ./ _.�i..__.__ , i4. n./J•��.Nn./ <br />Stale License <br />NOTE: WAC 296-46-140 REQLIIRES'I'HA.T PLANS FOR ELECTRICAL WORK AT EDUCATIONAL. INSTITUTIONAL OR <br />MlJS(' SHOW Tf� STA'I�APPROVED PLANS BEFORE CITY O EVERET PERMTT WI� BE IS� D H SUCH JOBS <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAY3 (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVH READ /WD EXAMINED THIS APPLICATION AND KI`10W TEi� SAME TO BE TRUE <br />pND CORRECf. ALL PROVISIONS OF LAWS /\ND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLE'I'ED WITH WHETHER SPECffIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />7'O GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />OWNER OF THIS PROPERTY TO PERFORM THE WORKCFOR WFI CH A PLICATION IS M� A� o OMPLY WITH <br />'CFIE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� <br />� 5 "- <br />(� � <br />J,��Gv. .? ; ����, ,�� C��z� j , 3 _ Fu � <br />Datc <br />Signaturo <br />��� � c� pp p15/97) <br />