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APPLICATION FOR ELECTRICAL PERMIT _ <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREE'T <br /> EVEREI't,WA 96201 259-8810 <br /> �r- /'�; � <br /> Owner Mail Addrcss City StatdZip Phone <br /> q'��� Mail Address Ciry State/Zip Phone <br /> �,� // <br /> Sleclrical Conttactor Mail Addrcss Ciry State/Zip Phone State Licwse No. <br /> SGiC �/��4 <br /> Contract Price of Work Proposed Use of Building� <br /> S63/ /s� .�� SE Lo� �f/ <br /> Projxt Addrcss � <br /> Description of Work to Be Done: � �''�'�� l-�`�����'�� <br /> / <br /> NOT'6:W.4C 296-4G-140 REQUIRES THAT PLANS FOR ELECI'RICAL WORK AT EDUCATIONAL, WSTITUTIONAL OR <br /> HEpI,'fH (;;?+_E FpCILITIES BE APPROVED BY TIIE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW T!�STATE APPROVED PLANS BEFORE C1TY OF EVERET PERMIT 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 CER1'IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TE�SAME TO BE TRTJE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII..L BE <br /> COMPLETED WITH WHSTHER SPECffIED HEREIN OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br /> TO GIVE AUTHORTCY TO VIOLATE OR CANCEL TfiE 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 V✓ORK FOR WHICH APPLICATION 1S MADE AND I COMPLY WITH <br /> THE STATE CONIRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X i�/+.������1�� ���r �� Fee <br /> Signaturo Date <br /> �/a�s/s <br /> decepp(!/5f93' <br />