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APPLICATION FOR ELECTRICAL P�RMIT �U�t�� <br /> CI1'Y OF EVERETT <br /> BUILDING DMSION <br /> 37.00 CEDAR STREET <br /> EVERETT,WA 98201 259-8810 <br /> ��lonu �ir� !y�/io t3�/,Pcd � �-/�,L�ii� 2S'�Q 6�rv-a3a3 <br /> Own� Mail Addracs City State/Z�p Phone <br /> r <br /> Tennnt Mail Addre,cs . City State/Zip Phona <br /> ��ii <br /> Electrical ContncWr Mail Address City S4telZip Phone StateLaaseNo. <br /> 6o f�9O <br /> Contract Price uf Work Proposed Use of B'u'ildinb <br /> SG�7 /s-�- O� �F /oT�i0 <br /> Project Addreas ' <br /> Description of Work ro Be Done:�� ����'�/ <br /> / / <br /> NOTF.:WAC 296-46-140 REQUIRES'PHAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSfITU'ITONAL OR <br /> HEA:.TH CARE FACILTTIES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFOR&CIT']'OF EVERET PERivI11'WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLWGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIPY THAT I HAVE READ AND EXAMINED'fHIS APPLiCATION AND KNOW'PI-IE SAME TO BS TRUE <br /> pND CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITE WHSTHER SPECIFIED HEREI*1 OR NOT. THS GRANTING OF A PERMIT DOES NOT PRESUME <br />; TO GIVE AU1'FiORITY TO VIOLATE OR CAI�'� 'L THE PROV7SIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERF�- ANCE OF CONSTRUCIION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROP&RTY TO PERFORM Tf' - �RK FOR Wfi1CH APPLICATION IS MADE AND I COMPLY WITfI <br /> Tf�STA1'E CONT'RAGTORS LAW 16.27 RCW r-" s96.200 WAC. <br /> / � <br /> X „��-� � �-��-� y a���� F�� <br /> Signature T Date <br /> elec�PP(lI519J) <br />