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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETI', WA 98201 <br /> 259-8810 <br /> `E�" � � ' �v3 � �: ��. 5.�. �i° tu . �' �� 3�- �.:- <br /> Owner Mail Address City State/ZiP P6oue <br /> Tenaot � � � Mail Address . City State/Zip - Phone <br /> autir� <br /> Electrical Contractor Mail Addrcss City Slate/Zip Phone SGte Liceose No. <br /> � ��'� ('E�',I t�F�Y�� <br /> Contract Price of Work Proposed Uu of Bmldmg <br /> %n ��' ��il �'_ 5�� . <br /> Project Address <br /> Description of Work to Be Dane: f�U'.� C'��lC�i �L�' (N �ITG(.�?—�'U <br /> _ /�I�ll ¢ GYl2[=jrc� (N �A!-''-f�� �ilk'=lU GI$G171 r� <br /> NOTE:WAC 296-46-140 REQUIRES 'I'HAT PLANS FOR ELECTRICAL WORK AT EDUCA'I'IONAL, INSTITUTIONAL OR <br /> HEALTH CARF FACILiTIES BE APPROVED BY THE STATE OF WASHINGTON. /`,PPLICANTS WTI'H SUCH JOBS <br /> MUST SHOW THL STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, AFE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT i HAVfi READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC/', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED IiERE1N OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE 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 WORK FOR�1'HICH APPLICATION IS 1.4ADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WpC. <br /> X .%<��� � � � <br /> 3 l� '� F� rJ�, <br /> gnat re Date <br /> � i , <br /> ,����', �� <br /> �t«orr C�isr�� <br />