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APPLICATION FOR EL�CTRICAL P�RMIT - <br /> CITY OF EVERETT <br /> BUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> ���i«r Cr�7"� ��/r/lD �.�,�lG�/�C��./1�6c'.� �,r�r ��.�r-�z 3�3 <br /> Owner Mail Address City State/Zip Phone <br /> Teoant � �� � Mail Address City State/Zip � Phone <br /> T� -// <br /> Elutrical Contnctor Mail Addrcss City State/Zip Phone State License No. <br /> s/=.t �2el7f/iy�s <br /> Contract Price of Work Proposed Use of Buildin� <br /> _.S�as /.sf �h.� SE La � ys �rf��i <br /> Project Address � <br /> ( � <br /> Description of Work to Be Done: �f,l,/ �7i/G� L✓�����<f <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTTTUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY 1'HE STATE OF WASHINGTON. APPLICANTS �•nTH SUCH JOBS <br /> MUST SHOW TIIE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE?SSUEli. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br /> NOT RACEWAYS). <br /> I I-IEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WTTH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GiVE AUiHORITY TO VIOLATE OR CANCEL THE PROVISIUNS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATTNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTTON. THAT I AM ATTTHORIZED BY 7'HE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WiTH <br /> THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> " �i���-�,�Q��z!��_ /—���3 F� <br /> Signaturo . Date <br /> �/a>�� <br /> d<cepp pl5�9)) <br />