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APPLICATION FOR ELECTRICAL PERMIT - <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET � � <br /> EVERETT,WA 96201 <br /> 259-88f0 <br /> /"�/T�n��'�-.��- lyy/v C� ��� L�.�lu.0�ld'� 6�/y���� <br /> Owner ! Mail Address City StatdZip Phone <br /> Tenant Mril Address . Ciry State/Zip Phone <br /> �E�/ <br /> Elxtrical Contracror Mail Address City State/Zip Phone State Licenu No. <br /> SF,r �/�r-+�o <br /> Contract Price of Work Propos�d Use of Building <br /> s60/ /sf�e. S� 37 .zad <br /> Project Addrcss <br /> F-� l <br /> Description of Work to Be Done: � �l �S� `1/�/rf�l�l.� <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY TE� STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMTT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRfiD TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY 7'HAT 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 WfIETHER SPECIFIED HERE[N OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> T'O 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 THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TA <br /> THE STATE CONTRACfORS LAW 18.27 RCW AND 296.200 WAC. <br /> X /—/O-�ly F� <br /> Signature Date <br /> !'I`�I 0� �i«orv c�a��>> <br />