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� ,b � - — <br /> �,o� <br /> � APPLICATION FOR �LECTRICAL PERMIT �,��� <br /> ' CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STRLET <br /> EVERE'IT,WA 98201 <br /> 259-BB10 <br /> �4itcr [�o.�s <br /> Uroer Mail Address City StatdZip Phoue <br /> Teoont Mail Address Ciry SmtdZip Phone <br /> .G.w3 <br /> Elxtrical Contnctor Mail A�dress City State/Zip Phone Smte Licease No. <br /> �r�soo �fR <br /> Contract Price of Work Proposed Use of Building <br /> S�O 8 /ST �j�/E LtIEST <br /> Projxt Address <br /> Description of Work to Be Done: t/< � t/n� �qp,pw,/ aERvlr� <br /> NOTE:WAC 296-4G-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAI., INSTITUTTONAL OR <br /> HEALTH CARE FACII.TTIES BE APPROVED BY THE STATE OF WASHING'iON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW TF�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WILL BE ISSUED. <br /> NOTE:WIRING W NON-DVVELLTNGS IS REQUIRED TO BE IN MEfALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> � I HEREBY CERTIFY 7'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW 1'F�SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED WITH WIiECHER SPECIFIED HbRE[N OR NOT. THE GRANTING OF A PERMIT 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 PERFORM.4NCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED HY THE <br /> OWNER OF THIS 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 WA�. <br /> X �/`.,e.,l�Le..«.- Q• `1f7.i.i.�6- �Z,<f93 Fee �' '�.eo <br /> Signature . Date <br /> elecePP(315/9J1 <br />