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CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEUAR STREET <br />EVERETT, WA 98201 <br />•,.C�+'�7 <br />Tenent <br />Electrical Contractor <br />W gG, � <br />Contract Price of Work <br />APPLICATION FOR ELECTRICAL PERMIT <br />;. /?�� for/sr L� <br />Mail Addre'ss <br />Mail Address . <br />o ,(fr�ii`�O /Y/i�..�,�i <br />Mail Address <br />City <br />City <br />City State/Zip <br />State/Zip <br />State/Zip <br />'-G iBA <br />Phone <br />�u5/.c ��N/,•/ o�'.�:r� ) <br />Proposed Use of Building <br />Description of Work to Be Dona __�� /�/ 2��Qu�.S<<�✓� /�.:� �� yrr �.vc� 2�"A•vs <br />_I_vo A..�.:.fi/!s,/ C�t is l..d 2.9� /Jnas <br />�� �� 3 <br />259-8810 <br />Phone <br />Phone <br />%/ 5 <br />•o&tr� <br />State License No. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONr\I., 1NSTITUTIONAL OR <br />iiEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW TFIE 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORREC7'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPI,H'I'ED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL. LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AIv1 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />� <br />Signature <br />�/. <br />37 � <br />d«orv C�isiv» <br />