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CITY OF EVERETT <br />IIUILDING DIVISION <br />3?AO CEDAR STREET <br />EVERETT, WA 98201 <br />_ C'a <br />�[� <br />•�t <br />� <br />APPLICATION TOR �L�CTRICAL P�RMIT <br />�_��.� � 1' <br />Mail Addrcss <br />o �k <br />Mail AJdress . <br />� i _ � I 1 <br />City <br />City <br />SlatelZip <br />State/Zip <br />Elce wl Contractor Mail Address Cily Stale/Zip Phone <br />�i/�� y—'7" L C� P <br />Cqn ct Pnce of \"ork Proposed Use of Building <br />�! 30 �1vcGfv1.� �%� <br />Project Address <br />Description of Work lo Be Done: <br />-ZiGI <br />259•8810 <br />Phone <br />.s �8-3 yyl <br />Phoue <br />l=Y�/�Ns� /yuP <br />State License No. <br />NOTE: WAC 296-06-140�REQiJ[RES 17{AT PLANS FOR ELL•CTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITLES DE APPROVED BY THE STATE OF WASHINGTON. APPL[CANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVLD PLANS BEFORE C1TY OF EVERE'C PfiRMiT WILL IIE ISSUEU. <br />NOT&: WIRING IN NON-DWELLINGS IS R&QUIRED TO HL IN ML•'1'ALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREB Y CERTIFY THAT I HAVG READ AND EXAMINGD THIS APPLICATION ANll KNOW THG SAME TO BE TRUL• <br />AND CURitECT. ALL PROVISIONS OP LAWS AND OItllINANCLS GOVERNING THIS TYYE OP WORK WILL HE <br />COMPT.ETED WITH WHETHER SPGCIFIGD HLRE[N OR NOT. THI: GRAN1'ING OP A PGRMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATL OR CANCEL TtIL' PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCIION OR TIjE PERFORMANCE OT CONSTRUCTION. THAT I AM AUTHORIZED BY TIiE <br />OWNER OF THIS PROPERTY TO PERFORM TFiE WORK FOR WIIICII A['3'LICATION 15 MADE AND I GOMPLY WI7'H <br />THE STATE CONTRACfORS LAW I8.27 RCW AND 296.2W 1VAC. <br />���/ �iA l0-3/-9� F��� <br />X � "'_�'���, Daic <br /><IecepP (JIS� <br />