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� - -- _-- <br /> 4 � --. <br /> Ip <br /> A.PPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STRtiET <br /> EVERETf,WA 982R. <br /> 259-BB10 <br /> �EtECr ,�Iu.ES <br /> Owner Mul Address City State/ZiP Phone <br /> Tenmt Mail Address Ciry State/Zip P6one <br /> .L� 3 <br /> Elxtrial Contnctor Mail Addrcss City State/Zip Phone S4te Licwse No. <br /> �r /� SS�/� IST �'/� �JEST <br /> Conhact Price of Woi�C Proposed Use of Building <br /> Yrojxt Address <br /> Description of Work to Be Dona 6o A�TE�, �Ei►v%CE <br /> ' NOTE:WAC 296�6-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, WS'I1T[TiTONAL OR <br /> HEALTH CARE FACIIITIES BE APPROVED BY TKE STATE OF WASHII�IGTON. APPL1l'.ANTS WITH SUCH )OBS <br /> MUST SHOW'fHE STATE APPROVED PLANS BEFOR&CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE;WIRWG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I FiE£,EBY CERT'IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Tf�SAM&TO BE TRUE <br /> ANB CORtcECT, p[.L pROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPfi OF WORK WII,L BE <br /> COMPLETED W1TH WHET'fiER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMCf DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT6 OR LOCAL LAW <br /> REGULA'fING CONSTRUCITON OR THE YERFORMANCE OF CONSTRUClTON. THAT I AM AU'ITiORIZED BY THE �. <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THS STATE CONTRAGTORS LAW 18.27£,r_W AND 296.200 WAC. <br /> X �'� �,e�:..� J `lyl <br /> �e� B�P3�?� Fee <br /> Signature Date <br /> �/� 9� <br /> elccePP(3/S/9J) <br />