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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />i3cv Iy, (r 3 00-9 \N Chi, :c w, L- L�KL-Y� I \1I h 3Hi-2t'i_t <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City State/Zip <br />Phone <br />O�nOH v-LU 1,TQ\ c 61i 4oSN 5N. 5, \4 W h . r18zc, 3 3Ni- iL00 pVTTOL( 13Tq>< <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />3S SS y.� VD%k—o a%cq'_ANaS. <br />Contract Price of Work Proposed Use of Building <br />76LDG, No-I.I Q G br. 'L4 <br />Project Address <br />Description of Work to Be Done: Vv t L M - C K 1 g 5 P C- l- <br />NOTE: WAC 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 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 TI��j A•�ROPE TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE t�LRA RS LAAW 18.27 RCW AND 296.20o WAC. <br />X <br />Signature <br />Y- <br />Date <br />Fee , , L 7 <br />clecaPP Qr5193, <br />