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CITy OF EVERETI' <br />BLIII.DING DMSION <br />3200 CEDAR STREET <br />E��'�'r, WA 98201 <br />�; <br />AP1'LICATION FOR �LECTRICAL PERMIT <br />Addross <br />Teonnt � T�iil Address . <br />Elxtrical Cootnctor Mail Addrcss <br />� l l.� �-� �� <br />Contnct Pnce of Work <br />Project Addreas <br />City <br />City <br />Ciry State/Zip <br />� ll, - <br />Proposrd Use of Building <br />Descriptioa of Work to Be Dona ���j ���''y �_ � <br />r/ _ <br />i I • `-�l : `\ <br />Sute/Zip <br />State/Zip <br />Phone <br />259-F810 <br />.�`�.�,-%,.� /Pnhone <br />Y' <br />Phone <br />State Liceose No. <br />N07'E; WAC 296-46-140 REQU1Rgg 1�iqT PLANS FOR ELECTRICAL WORK AT EDUGATTONAL, INSTIT[TI70NAL OR <br />�'4I-7'F1 CARE FACII.I'I'IES HE .1PPROVED BY THE STATE OF WASHINGTON. APPLIi:ANTS WI'1'H SUCH JOBS <br />MUST SHOW TI� g7'q'j'E qppRpyEp pI.ANS BEFORE CTTY bF EVERET PERMIT WILL BE ISSUED. <br />NOTb: W[I�G IN NON-DVVEL,I,INGS IS REQUIRED TO BE IN METALiIC RqCEWqyS (MC AND AC, AR& CABLES, <br />NOT RACEWqyg), <br />I HEREBY CERTIFy'('$AT I HAVE READ AND EXAMINED THIS APPLiCATIOY FND KNpV✓ THS SAME TO HE TRi.TE <br />''�D C�RRECf. ALL PROVISIONS OF LAWS ,AIJD ORDINAIJCES GOVERNINCi THIS TYPE OF WO� Wu,L gE <br />CGMPLETED WI'I'H WHETHER SPECIFlED HEREIN OR NOT. THE GRANfING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHURI7Y TO VIOLA7'E OR CANCEL THE PROVISIONS OF qNY OTHER STATE OR LOCAL LqW <br />REGULATING CONSTRUCTION OR THE PERFORMpA�CE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TfiE Wp�{ FOR WHICH APPLICATION IS MADE AND I COMPLY W!'fH <br />THE STATE CON'CRpCTOR.S LAW 18.27 RCW AND 296.200 �VAC. <br />X. <br />Signature <br />, <br />/ <br />.. <br />, , <br />Date <br />� � <br />����5 �� <br />�i«.rc c�isror, <br />