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AYPLICATION FOR ELECTRICAL P�RMIT <br />CiTY OF EVERETI' <br />DUILDING DIVISION <br />3200 CEDAR STRE•ET <br />fiVLRL-TT, Wp 98201 <br />Uwncr <br />� <br />259-BB70 <br />Tcnant � � � Mail Addrcss . City S�atdZia � Phone <br />Glcctricai Contnctor <br />Contract Price oi Work <br />Rojat Address <br />Dc.oriplion o( Work ta Ec Done: <br />�: c�iy s�wz�� <br />Proposed Uu o( Building <br />��� oZ0'D id�^�l� �� <br />Stale Licenu <br />NOTE: \VAC 296-06•]40 REQUIRES THpT PLANS FOR ELLCfRICAL WORK AT L•DUCA770NAL, INSTI'CU7'IONAL OR <br />HEALTH CARL• FACILITfES IIE APPAOVEU HY TfiG STATE OF WASHINGTON. APPLICANTS WI7'fi SUCH IOBS <br />MUST SHOW TIiE STATE APFROVED PLANS DEFORH CCfY OF EVERET PGRASIT WILL UL• ISSUED. <br />NOTG: WfRING IN NON-DN'ELLINGS IS REQUIRED TO IIE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HERH�Y CERTIFY THAl' I NAVE RL•AD AND EXAMINFD Tfi1S APPLICATION AND KNOW THG SPhiE TO BE 7RUE <br />AND CORREC:, qLL PRO'v1510N5 OF LAWS pND ORDINANCL-S GOVERNING TIi15 TYPE OF WORK W[LL BG <br />COMPLGTED WITH WHEfHGR SPECIFIED HERHIN OR NOT. THE GRANTING OF A PGRMIT DOES NOT PRESUME <br />'f0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV1510NS OF ANY OTIiER STA7E OR LOCAL LAW <br />REGULATING CONSIRUCTIOY OR THE PL'RFORM1IRNCE OF CONSTRUCiION. THAT I AM AUTfiOR12ED BY THE <br />O\VNER Of THIS PROPERTY TO PERFORM THE WORK FOR WHIC{i APPLICATION IS MADE AND I COMPLY WITH <br />TI1E STATB CONTRACTORS LAW 18.27 RCW AND 29G.20D WpC. <br />� <br />Datu <br />r•� 3 S <br />°�°�^rr Drsro�� <br />