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-, - <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERE'I7', WA 98201 <br /> 259-88f0 <br /> �lon G �(�f lO 6cl ���/�/�e�� 96�0�' �ysh23�� <br /> Owner Mail Address City State/Zip Phone <br /> Tenont � - Mail Address City State/Zip Phone <br /> �'�� <br /> Electrical Contrector Mail Address City State/Zip Phooe State License No. <br /> 60/�io <br /> Contract Price of Work Proposed Use of B ilding <br /> ssa,� �s� �� S� Cor �y ,.� <br /> Projxt Address <br /> Description of Work to Be Done: � GZ'.ICc/C/'� /.I��V�- <br /> NOTE:WAC 296�46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIT[TITONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STAT'E APPROVED PLANS BEFORE CITY OF EVERET PERWIIT 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 EXAMINE•D THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WILL HE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. TfIE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY 7'O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGliLATING CONSTRUCTION OR THE PERFORMANCE OF CONS1RUCfION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICA APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> " �/�./� s,����- /��a�3 F� <br /> Signature . Date <br /> �3��� <br /> �i«erv C�n,o,, <br />