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APPLICATION FOR �LLCTRICAL PERMIT `���,� <br /> CIT'Y OF EVERETT <br /> BUILDING DIVISIOT7 <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> �i�'�'u c��� CG,,f,s�.o.� •�� /`'7 c��.,d. ,��-�-,�� �,�l� l zs7-65�2-z <br /> Ow�ner Mail Address Ciry Smte/Zip Phaue <br /> Tenant Meil Address City Slate/Zip Phone <br /> /,�m�`�fN/r4r 6'/�. f?a.�x z �9/ /�.,:�w�od'.l��s 9�'036 337-�b'Do .s1o�»f.�-�.r�av <br /> Electrical Co ractor Mail Address City State/Zip Phone State License No. <br /> �Oo n ,F IS'��, Z2_S'� ,('J�+y C.vti�� <br /> Contract Price of Work Yroposed Use o Building <br /> �S/ � o,�f's <br /> Project Address <br /> Descriptioa of Work to Be Done: �2 �tJ. �'f <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORR AT EDUCATIONAL, INSTCI'UT'fONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CI1'Y 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 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH1S TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS'fRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TAIS PROPERTY TO PERFORM THE WORK FOR WHICH APPL[CATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> " --�J 1.��.� s- >' F� � �D°� <br /> Signature . Dale <br /> ��«^CP C��SI97) <br />