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APPLICATION FOR ELECTRICAL PERMIT <br /> C1TY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CED.r,R STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> ,1a�ihna �6u�,Ks ��.20 l�2�y, l.� S�+ �'ve... wr4- 5'�z�l zS9-G �zy <br /> Owner Mail Address City State/Zip Phone <br /> �� <br /> Tenant Ma�l Address C�ry State/Zip Phone <br /> s�-PG �r.�-�.— <br /> Electn�..on�recwr mau quurcss C�ty State/Zip Phone State License No. <br /> � . . <br /> Contract Price of Work P posed Us Building <br /> ! ��� �—� �-/- �.o�.vv_�— <br /> Projut Address <br /> Description of Work to Be Done: _[�) /,V[�,�„ � �o � � � � X 3a �� �� <br /> I � , � A <br /> SR.✓wa.�� <br /> NOTE:WAC 296-46-140 RLQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI'I'H SUCH JOBS <br /> MIIST SHOW THE STATE APPROVED PLANS BEFORE CTTY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLiNGS IS REQUIRED TO BE IN METALLIC RACEWAYS (1�IC 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 THIS TYPE OF WORK WILL BE <br /> COMPLET'ED WITH WHETHLR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TIiE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> TFIE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> �� � �,.,�- �a�v+ /y3 . �5 � <br /> ionature F� <br /> Date <br /> clecapp(J/S/P3) <br />