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�% N°� <br /> R <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> � `ll� <br /> CITY OF EVERETT <br /> BUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> �ELEGT ,(/ora&5 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Addrus City StatelZip Phone <br /> iC/i�3 <br /> , Electrical Contractor Mail Addras City State/Zip Phone State License No. <br /> ��So.Oo �.� <br /> Contract Price of Work Proposed Use of Building <br /> sSF,� /ST �PidE !t/EST � 23 <br /> Proj�t Address <br /> Description of Work to Be Done: �'00%Ik.� �/e�CG <br /> NOTE:WAC 296-46-140 REQiJIRES TTIAT PLANS FOR ELECTRICAL WORK pT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CpRE FACILITIES BE APPROVED EY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH IOBS <br /> MUST SHOW TI�STAT'E APpROVED PLANS BEFORE CITY OF EVERET PERMIT 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'I;pT I HAVE READ AND EXAMINED THIS APPLiCATTON AND KNOW THE SAME TO BE TRUE <br /> AND CORREC(', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J✓ILL BE <br /> COMPLE'['&D WITH WHE'I'HER SPECIFIED HERHIN OR NOT. THE GRANTWG OF A PERMTT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LpW <br /> REGULAT[NG CONSTRUC'I'ION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'fH <br /> THE STATE CONTRAC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> s,x��� `�`"�l�j� ��31,,� F� 3S� <br /> Date <br /> decopC(!l5/0; <br />