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C1TY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />HVERETT, WA 98201 <br />���� <br />Owner <br />l��hk1� <br />Tenant " <br />T <br />�� C•J�' <br />Elxtrical Contractor <br />y�0.� <br />Contract Price of Work <br />/S /3 <br />Project Address <br />� <br />APPLICATION FOR ELECTRICAL PERMIT <br />p�� �ox sy�, <br />M311 AOtl�CSS <br />Mail Address . <br />2via! qddrcss <br />l}V ¢— <br />,�" f 7� G�� <br />Description of Work to Be Done: <br />City <br />} �r 2�=t'- <br />C�ty <br />City <br />StatdZip <br />Proposed Use of Building <br />`In��o� <br />�u.4.c �ru lDO nN.P <br />�f- �,J�ci � <br />tiV9 n/L�C(� <br />$I8[C,�ZIp <br />State/Zip <br />Phone <br />��5�- � 32 S <br />Phone <br />Phone <br />State License No. <br />��. u �ao a,�P , <br />!:,� likvc / �vr�t �a G.,:.�t <br />NOTE; WpC 296-46-140 REQUIRES'I'HAT PLANS FOR $LECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br />HEAL.TH CARE F�CII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WiTH SUCH JOBS <br />MUST SHOW TI�. STATE APPROVED PLANS BEFORE CITY OF EVERET PERAIIT W[LL BE ISSUED. <br />NOI'6:1VIRING I1Q NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLFS, <br />NOT F_ACF_WAYS). <br />I HEREBY CERTIFY THAT I IIAVE READ AND HXAMiNED THIS APPLICATTON AND KNOW THE SAME TO BE TRUE <br />AND CORREC'I', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br />COMPLETED WITH WI-IETl-[gR SPECIFIED HERHIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVfi AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULAT'ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTTON. 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 WqC. <br />Signature <br />j"7- � <br />Date <br />Fee <br />�i�oerr f�rsi9�i <br />