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CITY Or EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Oweer <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail <br />City <br />259•SS10 <br />Phone <br />Temnt . Mail Address City State/Zip Phone <br />'bAtoSSrmisfi ,_,t <br />5 'Dert"Ce Cle r `tr I UI'.n 1yc I; -c l�VI �b AU.t 339- os-o <br />Electrical Contractor Mail Address City Iatdzip Phone State license No. <br />I ')CO3 OD LF,LO 07Ktr<S <br />Contract Price of Work Proposed Use of Building <br />a9-3--:) �ocice.11 r <br />Project Address <br />Description of Work to Be Donn:. 12 Am? 5er, r, CIl a, V r <br />NOTE: \1'AC 29646.140 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 E•VERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO PE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RAC EWAYS) <br />1 HEREI;Y CERTIFY THAT 1 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 />h ,_ <br />Signature <br />Date <br />Fee Y.� c l <br />rlrr•PP p15193l <br />