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A. <br />APPLICATION FOR ELECTRICAL PERMIT <br />HnH <br />tT1 H Cil'Y OF EVERETT <br />JD x BUILDING DIVISION <br />~ 3200 CEDAR STREET <br />> H Cn <br />99 EVERETT, WA 98201 259-8810 <br />y z� <br />0�H you /eOO/?N/fiivZlfae <br />Owner Mail Address City Statuaip Phone <br />o <br />H "M g Tenant Mail Address City StatelZip Fhone ` <br />STS� �/tlOarfQ Sle euA 1.Ci'i'90 ` �P p C1 <br />GElectrical Contractor Mail Address City state/Zip Phone Stale License No <br />ytract Price of Work Proposed Use of Building <br />or Contract <br />CIL <br />Project Address / <br />Description of Work to Be Done: '.( n n/ n O x t <br />r ! <br />NOTE: WAC 296-16-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH 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 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 WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE 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 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296,200 \VAC. <br />A; 3 Fee <br />Signature Date <br />�f'��� eIccnrp(3/5193) <br />