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CITY OF EVERETI' <br />BUII.DING DIVISION <br />3200 CEDAR STREE7' <br />EVERETT, WA 98201 <br />Owner <br />Tenant <br />Elutrical Contractor <br />Contract ?rice of Work <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Address <br />Mail Address <br />ClJZ(C <br />Mail Address <br />c,�.��/ �z< <��� <br />City <br />City <br />259-88f0 <br />l� �v�r j.-�-- <br />�tate�Ltp <br />Stale/Zip <br />City State/Zip Phone <br />3 c.�c�l; i /� P r` <br />Proposed Use of Building <br />_(�o(l /`�� I�u�ys�/ <br />Projut Address <br />Description of Work ro Be Done: <br />r ( <br />S <br />� �t <br />Phaoe <br />3��-�i��{S <br />Phone <br />� � �f <br />State License No. <br />i r'� <br />NOTE: WAC 296-46-140 REQiJIRgS THAT PLANS FOR ELECTRICqL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI'('H SUCH JOBS <br />MUST SHOW Tf� gTq'1'E pppROVED PLANS BEFORE C1TY OF EVERET PE1t1vfIT WILL HE ISSUED. <br />NOTE: WIRING IN NON-DWELI,INGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY'I'I-IAT I HAVE READ AND EXAMINED THIS APPLICATION AND IQ•IOW THE SAME TO BE TRUE <br />AND CORItEC'I', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLLi'ED WlTH WHETHER SPECIFIED HEREIN OR NOT. THE C;RAN'('ING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIJNS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNHR 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 />X <br />Signaturo <br />lC5- Z�-�i 3 <br />Dale <br />�/,� �� �/ <br />cl<cerp (!IS/9J) <br />