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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EyERE']T.WA 98201 259-8810 <br /> �4/G✓iC/ C�l�� f/ <br /> Owner Mail Address C�ty State/Zip Phone <br /> 7'�yn� � � Mail Address Ciry State/Zip - Phone <br /> TF// <br /> Elxtrical Contnetor Mail Address City State/Zip Phone State Liceose No. <br /> SF�L' �ca ih.,n <br /> Contract Price of Work Proposed Use of Building <br /> ,S.$" �5 !—/�.r ,SE Ga� 6`� r���ja <br /> Projxt Address � <br /> /' ! <br /> Descriptiou of Work to Be Done: �-d� f'/�Lf� �✓!ni+- <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW':HE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMTT 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 TH[S APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECf. 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 PERMTT DOES NOT PRESUME <br /> TO GNE 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 NORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> 7'HE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 N'AC. <br /> �/X �/ / <br /> //� �G� �--�>' %�/ Fee <br /> Signaturo Date <br /> �3�g � <br /> �ieooro prsro, <br />