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A.PPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUII.DTNG DIVISION <br /> 3200 CEDAR STREET <br /> &VER+.°'IT, WA 98201 <br /> 259-8810 <br /> ��•� i�'�1 'l� � �,..) �k I " (�a Q ! / � �,j� �i�ar� , as�-y�.tg <br /> �"'n.� Mail A ess <br /> City' State/ZiP Phone <br /> Teoant Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zi Phoae <br /> P State License No. <br /> Contract Price of Work Proposed Use of Bwlding � <br /> l/ (/V V � <br /> Project Address <br /> Description of Work to Be Done: /�"II✓L f:.i ���... � � � �'� � (J Q__ /� <br /> -}..� n � ,� •x�i hQD3v�( <br /> �� K�yu n'1/�dl r--�- (� _ — r-- <br /> i 1 .���w ne.e p � )s .,�mN� /_1�.� ,Ln <br /> H� <br /> NO'!'E:WqC 296-46-140 REQUIRES TfiAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAI., INSTITUTIONAL OR <br /> HEALTIi CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT 1VILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQIIIRED 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 IWOW THE SAME TO BE TRUE <br /> AND CORR&CT', qLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITI-I WHg'f[-]ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AIITHORITy TO VIOLATE OR CANCBL 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 WITH <br /> THE STATE C:1NTRpCI'ORS LAW 18,27 RCW AND 296.200 WAC. <br /> -� 1 <br /> X c���� �_��� _ <br /> l� ao-y � �,:- _ <br /> Signature — F���.' <br /> Date <br /> ��6'� <br /> <i«err C�is,o,) <br />