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APPLICATION FOR �LECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-88f0 <br /> l.,�R�y �i,v�N /9mo9- �,�AvE 1U �Y/YNIdoOl�. �A 7�� a�9- y,z�o <br /> Owner Mail Address � Ciry State/Zip Phone <br /> Tenant - � Mail Address City SUte/Zip � Phooe <br /> c�RR��v7',����r..x�- ���s-i��'sw. � �Ooo�� �����o <br /> Electrical Contractor Mail Address Ci y State/Zip Phone State License No. <br /> .S�/lt/C�L,E , AM/LV iPES. <br /> Contract Price of Work Proposed Use of Building <br /> �o�" a sP� ��-p.� <br /> Projut Address � <br /> Description of Work to Be Done: _L�/�//V+� 0� G�/h��E/� /70USE <br /> NOTE:WAC 296-46-140 REQi:IRES 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 TAE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL HE 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 TIIE SAME TO BE TRUE <br /> AND CORRECT. ALL PROViSIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH '`VI-IETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS[ONS 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 PERFORA4 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTGRS LAW 18.27 RCW AND 296.200 WAC. <br /> " �,r�O rc�.�� S`5�-�Y F� <br /> Signature Date <br /> 7 <br /> �� ���� <br /> �i�oorr[�isro�i <br />