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APPLICATION FOR ELECTRICAL PERMIT - <br /> CITY OF EVERETT <br /> BUILDING DNISION <br /> 3200 CEDAR STREET <br /> EVEREIT.WA 98201 259-8810 <br /> 'rNpyl�-S S�L1.�Eu. 5�01 tist AvE. S� �J ENf rT I.l� 9X ZO 3 1,Yi 3Ss-99�� <br /> Owner Mail Address C�ty State/Z�p Phone <br /> Twant . � � � Mail Address � Ciry State/Zip � Phone <br /> �L:��Ou1N4rz <br /> Elxtrical Conttactor Mail Address City State/Z�p Phone State L�cense No. <br /> Contract Price of Work Proposed Use of Building <br /> Project Address ^ �/ <br /> Descri'pt/ion of Work to Be Done: IO F N�S� 1"AI�'� ���I� C� �� ��'��l� U��N.I/�9— <br /> �NQu� 4M.S�"v�i C�r w� 1 Il le�� �.v�-{t,/�I `� 0 t.� � U,� <br /> NOTE:WAC 296-46-140 REQUIRES'['I�IAT PLANS FOR ELECTRICAI-WORK AT EDUCATiONAL, INSTITUTI�NAL OR <br /> HEALTfi CARE FACILTTI�� BE APPROYED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE C[TY OF EVERET PER2vIIT WILL BE;SSUED. <br /> NOl'E:WIRING IN NON-DWELLiNGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I I-IEREHY CERTIFY THA� i HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TAE SAME TO BE 1RIIE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLE'CED WITH WHET'HER SPECIFIED HEREIN OR NOT. THE GRA1�R'ING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUI'HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT[ON. THAT I AM AUTHORIZED BY THE <br /> OWNER O THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLiCATION IS MME AND I COMPLY WITH <br /> TfiE STA E ONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � 1 —� � Fee d� <br /> Signature . Date <br /> ( ����� elecePP(3IS��J` <br />