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CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Lhr�s <br />Owner <br />Tenant <br />C, I �)� <br />Hlectrical Contractor <br />Contract Price of Work <br />Project Address <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Address <br />Mail Address <br />'f low <br />Mail Address <br />Description of Work to Be Done: <br />-1 1 / Yl r. r. Z <br />Ems' - <br />City <br />259 8810 <br />7.vt—S3�'6 <br />v✓-4 cezo 1. <br />City State/Zip Phone <br />City State/Zip Phone <br />wA, 4szol ' 7SA-S�31 •�10/'!h w'► "'I'• <br />StatelZip Phone State License No. <br />C <br />Proposed Use of Building <br />Z <br />CATIONAL, INSTITUTIONAL OR <br />ACARE FACILITIES BE AP ROVED BY THE STATE OFW SHINGTON HAT PLANS FOR ELECTRICAL WORK AT UAPPLICANTS <br />HEALTHWITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE TN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />CATION <br />KNOW THE SAME TO <br />E TRUE <br />AND CORRECT ALL PROVISIONS OF LAWS <br />CERTIFY THAT I HAVE READ EAND IORDINANCENED THIS B GIOVERNINGDTHIS TYPE OF WORK BWILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />ANELVISINS OF ANY <br />TO REGUER STATE OR LOCAL LAW <br />LATING AUTHORITY GTRUCTION OOR THE PERFOCRMAAY E E PRFOCONSOTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Fee <br />Signature <br />clecapp (315/93) <br />