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R�J <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> ti3Nl� <br /> CITY OF EVERETT <br /> BUII.DIN3 DIVISION <br /> 3200 CEDAR S'CREET <br /> EVERETT,WA 98201 <br /> 259-88f0 <br /> �c� No.Es �3� �►� �+ q�,ad� a��� o <br /> Owner Mail Address City State.�Zip P600e <br /> Teoant Mail Address Ciry State/Zip Phone <br /> ��3 <br /> Elxtrical Contractor M:il Addrcss City State/Zip Phone Smte Licease No. <br /> is.s0•OO �f/� <br /> Contract Price of Work Proposed Use of Building <br /> SS�iG /sr �id6 rf/EST * / <br /> � Projxt Addrcss <br /> Description of Work to Be Done: 2AD� �yel�/!L <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELE�..TRICAL WORK AT EDUCATIONAL, INSTITG'I'fONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STA CE OF WASHINGTON. APPLICANTS WIT'H SUCH 70B5 <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PER2vIIT WILL BE ISSUED, <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED 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 /> AND CORRECf, Ai.L PROVISIONS OF LAWS AND ORDINANCES GOVERNING TAIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHE'fHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY O'I'HER STATE OR LOCAL LAW <br /> REGULA'I'TNG CONSTRUCTION OR THE PERFORMANCE OF CON;TRUCTION. 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 <br /> — �c,Ll.riur,.�t� �sf4�� �3��9f! F�3�S.00 <br /> Signature at� <br /> cleceCP(]/$/ot1 <br />