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� <br />CITY OF EVER6TT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />gVSRETT, WA 96201 <br />i.. .S <br />Owua <br />Tw�nt � <br />�• ir•�-C <br />Electrical Contractor <br />� <br />�. <br />APPLICATIGN FOR ELECTRICAL PERMIT <br />e=L <br />Mail Addrass <br />Mait Address <br />'il'� �1�%���rii���0 �- <br />� City StaWZip <br />. <br />City State/Zip <br />259-8810 <br />l''� � �'1,� <br />P6one <br />0�6 '� �'�(o <br />Phone <br />Mail Addross Ciry Stace/Zip P6one . S4te License No. <br />Contnct Price of Work Proposed Use of Building <br />NOTE: WAC 296-46-140 REQU[RES 'PFiAT PLANS FOR fiL&Cl'RICAL WORK AT EDUCATTONAL, INSTITITTIONAL OR <br />H&&ALTH CARfi FACILTTIES Bfi APPROVED BY Tl� STATE OF WASHINGTON. APPiICANTS W1TH SUCH JOBS <br />MUSC SHOW Ti� STATE APPROVED PLANS BfiFORE CTfY OF EVERET PEEWITf WII.L Bfi ISSU&D. <br />NOTE: WSRING IN NON-DWELLINGS IS RfiQUIRED TO BH IN METALLIC RACfiW/�.YS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HERfiBY CERTIFY THAT I HAVE READ AND EXAMWED'fHIS APPLICATION AND KNOW TiI& SAM& TO B& TRUE <br />pND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYP& OF WORK WII.L BE <br />COMPLETBD W1TH WHEI'HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br />TO GN& AUTHORITY TO VIOLATE OR CANCEL THB PR0�ISIONS OF ANY OTHER STAT& OR LOCAL LAW <br />REGULAITNG CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZfiD BY THE <br />OWNER OF THIS PROPERTY TO PERFORM Tf� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE SfATE CONTRACfORS LAW 18.27 RCW AND 296.200 WAC. <br />X ��-�'�� �,. `��,�� ��� ��--q <br />Date <br />Fa <br />�i«.rr f�isroa) <br />