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CTTY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT. WA 98201 <br />APPLICATION FOR ELECTRICAL PERMIT <br />mass nuurecs <br />euy Jtatw/lp Phone <br />Teoust Mail Address City State/Zip Phone <br />.S.3 % Mn r U Sf, &,00 ICI5 UJa 77rQ13773 <br />Electrical Contractor Mail Address City Stale/Zip Phone State License No. <br />Contract Price of Work Proposed Use of Building <br />Project Address <br />Dest ription of Work to Be Done: <br />NOTE: WAC 296A6-140 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 />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TINS APPLICATION AND KNOW THE SAME TO BE IRUE <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 IOCAL LkW <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 296.20(1 WAC. <br />X <br />Signature <br />Date <br />Fee %/ 1 4I <br />p1 -�/ <br />eknpp 015193) <br />