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�-. ^ <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 259-8810 <br /> S��'I�. -f���AJs I�L� aFF�S AtJ� �UEf:E'T� bt)p� '1�i4! ZSZ�y'�P7. _ <br /> Ovmer Mail Address City State/Z�p Phone <br /> T��� Mail Address Ciry State/Zip Phona <br /> . <br /> �7BS HFA�rr�IG t�`AC /�5�?.rl f.d w��h/�[cf �uS� toaoa�U✓��CF �JR- p�b�y�,s4o���6 <br /> Elxtrical Contnctor Mail Address C�ty Statb/L�p rnone ��a+.+�x,•�. <br /> $'iaKK/F'�iPPS �flb-6�3 <br /> Contract Price of Work Proposed Uu of Building <br /> /��D�RCS f}-l�F <br /> Project Addrcss ' <br /> Description of Work to Be Dona CF�il7�FI�/�1 QF ��� l� �� �(�J �'r����C�J <br /> NOTE:WAC 296�6-140 REQUIRES 7'fiAT PLANS FOR ELEGTRICAI-WORK AT EDUCATIONAL, INSTITITTIONAI.OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SAOW TF�STATE.4PPROVED PLANS BEFORE CITY OF EVERET PER2vITI'WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO PE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I IiEREBY CERTIFY THAT I HAVfi READ ?.AID EXAMINED TFiIS APPLICATION AND KNOW Tf�SAME TO Bfi TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDIT;ANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WI-I6'I'HER SPECIFIED HEREIN OR N01'. THE GRAN7ING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> RfiGULATTNG 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 P.ND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �/��� �S `1-b'%�- <br /> Fee <br /> Signaturo Date <br /> elecnpp(3IS197) <br />