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APPLICATION FOR �LECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVEREIT,WA 96201 <br /> 259-8810 <br /> WIO/?� ��/ / I LI G�ll/ �'+ �t�G� � �/1//_G,•:C 7�C�S'� �Y7 �� <br /> Owner Mail Address City StaWZip Phone <br /> Tenmt Mail Address Ciry State/Zip ;hone <br /> TE// <br /> Elxttical Contractor Mail Address City State/Zip Phone SGte Liceose No. <br /> h� �� <br /> Contract Price of Work Proposed Uu of uilding <br /> .S�JJ /S�.�r S.� � �Lll <br /> Projxt Address <br /> Description of Work to Be Done: /C T� �� .OD�7� <br /> ' NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTftICAL WORK AT EDUCATIONAL, INSTTTUTIONAL OR <br /> HEALTii CARE FACII.TT[ES BE APPROVED BY THE STATE OF WASFIINGTON. APPLICANfS WITH SUCH JOBS <br /> MUSf SHOW TF�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIv11T WII.L BE ISSUED. <br /> NOTE:WtRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLFS. <br /> NOT RACEWAYS). <br /> I HEREBY CER7TFY THAT I HAVE READ AND EXAMiNED THIS APPLiCATfON AND KNOW TF�SAM&TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHE'fFIER SPECIFIED HEREIN OR N01'. THE GRANTTNG OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCtiL THE PROVISIONS OF ANY OTFiER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCITON OR 'I'HE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED SY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ��'l'`z�// �lS�/�� � � � Fce .� � <br /> � � 5`� <br /> Signature . Date <br /> 11 ��Y� <br /> 1� ele<epp(!ISl93) <br /> �, _ <br />