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i 1� ^ <br /> � V APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> �ELECT �L/ow.E 5 <br /> �eT Mul Address City State/ZiP Phone <br /> Tenant Mail Addrcss . City StateJZiP Phoue <br /> E�x4ical Contnctor Mail Address City State/Zip P6one State Licease No. <br /> �Cor 23 ssl�p /aT �r( d/EsT <br /> Contract Price oF Work Proposed Use of Building <br /> O <br /> Pro�ect Address <br /> Description of Work to Be Done: �o A Tu..o T�,td �'Eif�/,�F <br /> � <br /> NOTE:WAC 296-46-140 REQUIRES T'HqT PLANS FOR ELECi'RICAL WORK AT EDUCATIONAL, II�ISTITUTIONAL OR <br /> HEALTH CARfi FACII.ITIES BE APPROVED BY TF� STATE OF WASHINGTON. APPLICANTS WiTH SUCH JOBS <br /> MUST SHOW TFIE STATE APPROVED PLANS BEFORE CTTY OF EVERET PERtvIIT WII,L BE ISSUED. <br /> NOTE:WIRING W NON-DWELLINGS IS REQUIRED TO BE IN METALLiC RACEWAYS (MC AND pC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTTFY THAT I HAVE READ AND EXAMINED THIS APPLiCATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WII.L BE <br /> COMPLETED W1TH WIifiT'figR SPECIFIED HEREIN 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 PERFORMANCE OF CONSTRUCTION. THAT I AM AUTIiORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WTTH <br /> THE STATE CON1'RAC7'ORS LAW 18.27 RCW AND 296.200 WqC. <br /> X �! .10.�.. <br /> �l `�J�,c��. 8/Z a�y� F� <br /> Signature Date <br /> y�� 5 7 <br /> clecepp(JISl97) <br />