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I <br />� <br />.ea� <br />APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVEREIT, WA 98201 <br />� �nle man■er an] L �cP Nr`_�-�; i�(Z F �tT �lJf��� <br />Owner Mail Address City State/Zip <br />Twant Mail Address . Ciry Smte/Zip <br />�cS51(� <br />259-8810 <br />Ph �e <br />P6one <br />OE7 <br />l�eo�p� r��r�:c I�tst-u�y3�- i%J�I�C . G/�9 9S�7o i3-)ll`j L7E/1Vftel�m� t;L <br />Elxtrical Contractor Mail Address Ciry State/Zip Phone State License No. <br />-2, S5 l. ° � <br />Contnct rice of Work <br />U43 — 1J�,�1„►� � . <br />Projxt Addmss <br />Proposed Usdof Building <br />Description of Work to Be Done: __ r� C� 0 a w v i' (a _ � Z Q� Z�{ v �� <br />NOTE: WAC 296�6-140 REQUIRES THAT PLANS FOR ELECTRICAI, WORK AT EDUCATIONAL, INSTTTUTIONAL OR <br />HEALTFi CARE FACILTfIFS BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WiTH SUCH JOBS <br />MUST SHOW Tf� STATE AppROVED PLANS BEFORE CITY OF EVERET PERT+IIT WILL BE ISSUED. <br />NOTE; WIRIMG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />� NOT RACEWAYS). <br />I HEREBY CER7TFY THAT I HAVE READ AND EXAMINfiD THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECI'. AI,I, PROVISIONS OF LAWS pND ORDINANCES GOVEIWING THIS TYPE OF WORK WII,L BE <br />COMPLETED WITH WHETFIgR SPECIFIED HEREIN OR NOT. THfi GRANTING OF A PERMIT DOFS NOT PRESUME <br />TO GNE pi]'('FIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATTNG CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCfION. 'I'HAT I AM AUTAORIZED BY THE <br />OWNER OF THIS PROPERTY TO PHRFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY Wl'fH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WqC. <br />x <br />�00 <br />— //' 9' F��° <br />Date <br />clecerF (7/s�o7t <br />