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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />0200 CEDAR STREET <br />EVERETT, WA 98201 <br />259.8810 <br />owner <br />Mail Address <br />City .- <br />State/Zip Anne <br />Tenant <br />Mail Address <br />City Slate/Zip Phone <br />n <br />El;d Contractor <br />bail Address <br />City State/Zip Phone Stile License No. <br />Contract Price of Work <br />Proposed Use of Building <br />nn <br />Project Address <br />Description of Work to Be Done: _g1j2_5�d1A• A'4 4, r $ oej W y � S 'Li <br />NOTE: WAC 296-06-140 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 SHONTHE 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 \VHICH APPLICATION IS MADE AND 1 COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />Date <br />Fee (/ ` `C) <br />y7-f <br />a.<.ro Prsron <br />