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APPLICATION FOR ELECTRICAL PERMIT <br /> N�' '� <br /> j tJ <br /> CITY OF EVERETT � <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,�YA.98201 259-8810 <br /> �� �-�»r� �6 i� ��� �, �e�� wu. 9� a �/ <br /> p��� Mail Address City StatelZ�p Phone <br /> Tenaat Mail Address Ciry State/Zip Phone <br /> E�ectricao-�}C nt�ractor Mail Addrcss City State/Zip Phone State License No. <br /> .�/DOD. oa ca-/�,G�/ �[x/i.11G'�' ' SPP� - <br /> Contract Price of Work Proposed Use of— Buildi g <br /> a 3 � � rn�,,�-P -�r � �-e� <br /> Project Address ../_ <br /> Description of Work to Be Done: n P'�'� �`� S �"� ��'���� / o ��4.� <br /> NOTE:WAC 296-06-140 REQUIRES'PHAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INS'ITTU'I'IONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY TF� STA'fE OF WASHINGTON. APPLICANTS WI'i'H SUCH JOBS <br /> MUST SHOW TF�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC 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 WII.L BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORI'I'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATTNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY H7TH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> /) � oU <br /> " (�.'y '�" .��./�'-�G�-� �^ o-r.� � � � : Fee �.JS <br /> Signatura <br /> c � Date <br /> cleoePP(313/9J) <br />