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-, r-e. <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,Wq 98201 <br /> 259-8810 <br /> �� �,a�f� zz�3i ��y� �orf�E s��.�,�SN w�o 9�LsG �� �«< <br /> Owner Mail Address City State/Zip Phone <br /> CRo�C[' <br /> ,��t' c�wC` zco� 1�ekr� ,E,���.�rr w� -ri't�u, .��P 8873 <br /> Tenant Mail Address Ciry Shte/Zip Phone <br /> Elxtrical ContracWr Mail Addrcss City State/Zip Phone S4te License No. <br /> Contnct Price of Work Proposed Use of Building <br /> ZteS �,dkc�' �✓t�.crT w-t SBLo� <br /> Projxt Address <br /> Description of Work to Be Donc. CW.fN6E' ,I�d'{,U[CE F/�te�fn Fr/St TO <br /> /z5—.J�J�' �' .d'.�F.sY�£k3 <br /> NOTE:WqC 296-46-140 REQUIItES'1'FIAT PLANS FOR ELEClRICAI,WORK AT EDUCqTIONAL, INSTITU'ITONAL OR <br /> HEALTH CARE FACILTfIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW TF�STATE APPROVED PLANS BEFORE CITY OF EVERET PHR1v1(1'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 EXAMTNED THIS APPLiCA7TON AND KNOW TI�SAME TO BE TRUE <br /> AND CaRRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TFIIS TYPE OF WORK WII,L BE <br /> � COMPLE'I'ED WITH WF�THER SPECIFIED FIEREW OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br /> TO GIVE AUTHORITY 'f0 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY 7'HE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �c.� � (�il'�_ ( ?/ S`/ '� <br /> Fee <br /> Signaturc Date <br /> Y3��� <br /> �i«orr c�rsivr <br />