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�/ �� _ _ <br /> R <br /> APPLICATION FOR ELECTRICAL PERMIT `�� �:� � <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 259•8810 <br /> aFlF.c.T �orr�5 <br /> Ouver Mail Address City StatdZip Phone <br /> Tenaet � � � - Mail Address � . City State/Zip � Phone <br /> Electrical Contnctor Mail Address City State/Zip P6one State License No. <br /> aF,e <br /> Contract Price of Work Proposed Use of Building <br /> S/� /Sr �f d/Es'T <br /> Projxt Address � <br /> Description of Work to Be Done: � � �R✓« — <br /> NOTE:WAC 296�36-140 REQUIRES'I'HAT PLANS FOR ELEGTRICAL WORK AT EDUCATIONAL, INSTI'CUTTONAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WTTH SUCH JOBS <br /> MUST SHOW TIiE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS RfiQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY'I'HAT 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 W1TH WHETfiER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUT'HORI7'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATG OR LOCAL LAW <br /> REGULATTNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TIIIS 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 • !t Y�l.c��- <br /> io.� // 5�9� F� �S.Do <br /> Signaturo Date <br /> elecnpp(l15/93) <br />