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�%�� � <br /> ,�� APPLICATION FOR �LECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DNISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 259-8810 <br /> , �ELEcr r�/o�+£5 <br /> Ouver Mail Address City State/Zip Phone <br /> Tenant Mail Address Ciry Smte/Zip Phooe <br /> ,Ca..3 <br /> Elxtrical Contractor Mail Address City State/Zip Phone State Licease No. <br /> Z000,pp �F� . <br /> Contract Price of Work Proposed Use of Building <br /> � /ST • G�EST <br /> Project Address <br /> Description of Work to Be Done: .[JEG/ F1ow.E �aD 144�y4 �Eif✓/Gc <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTIIES BE APPROVED HY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CfTY OF EVERET PER1vIIT 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 7'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> pND CORRECT. ALL PROVISIONS OF LAWS AND OP.DINANCES GOVERNING TfI15 TYPE OF WORK WILL BE <br /> COMPLfiTED WITH WHEI'HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROViSIONS OF ANY Ol'HER STATE OR LOCAL LAW <br /> REGULAT[NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC'fION. THAT I AM AUTHORIZED BY 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 WAC. <br /> X � � Q �l�s�c..� 2�9�9� F��— <br /> DD� - <br /> Signature Date <br /> �j��� <br /> � <br /> c�eonrr C3�s�o�• <br />