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APPLICATION FOR ELECTRICAL PERMIT <br /> C11'1'OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> FVEREIT,Wq 98201 <br /> 259-8810 <br /> /� l/ <br /> Cd- %.-��/��� .�7- /`�`/%/' ��1-'I�f� '/ 'r�/ /�fl�i �- %J�_ � " �`/ ./ 1 �J- <br /> �� Mul Addrcss City State/ZiP Phone <br /> Tenant Mail Address . Ciry State/ZiP Phone <br /> �!�.- // <br /> Elxtrical Contractor Mail Addass City State/Zip Phoue S4te License No. <br /> —l/�� �,'.,�, <br /> Contnct Price of Work Proposed �se oU f Building <br /> ���C�i ;s% �7. ���- f �> 37 <br /> Project Address <br /> , '�- , � <br /> Descriptiou of Work to Be Done: /_"i� . i,c z.:,=.-- �; -/�- <br /> I <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLiCANTS W1TH SUCH JOBS <br /> MUST SHOW TFIE STATE APPROVED PLANS BEFORE CTTY OF EVERET PERIv1IT WILL BE ISSUED, <br /> NOTE:WIRING IN NON-DWELLiNGS IS REQUIRED TO HE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY T'I3pT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIIE SAME TO BE TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WIig'I'I-[ER SPECIFIED HEREIN OR NOT. THE GRANtING OF .A PERMIT DUFS NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCHL 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 PERFURM TfiE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'IH <br /> THE STATE CONTRAC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X .f� �.� ,/��� �_. ���' .C'� . . � F� � ,- . <br /> Signature -� Date <br /> ��5�� <br /> elecnPP(!IS/SJ' <br />