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i� <br /> � ._. <br /> � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERbTT.WA 98201 � <br /> 259-88f0 <br /> ��LsLEGT y�pnES <br /> �`�'"a Mail Address Ciry State/ZiP Phone <br /> Temnt Meil Addmss . City Smte/Zip Phone <br /> LM - 3 <br /> Elxtrical Contnctor Mai! Address Ciry SmtelZip Phone Smte Licwse No. <br /> ZOOr) O° _�EUnEN �s <br /> Contnct Price of Work Proposed Use of Bmlding <br /> _�'y32 /� [�• I/. <br /> Project Address <br /> Description of Work to Be Done:_�b 4MI'� �p,,�//CE T1au6N 6u/P/tih � 'y= �'R1� <br /> NOTE:WAC 295-46-140 REQUIRES'I'fipT PLANS FOR ELECTRICAL WORK AT EDUCATTONAL, INSTITU'lTONAL OR <br /> HEALTH CARfi FACILTTIPS BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH 70BS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING W NON-DWELLINGS IS REQUIRED TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTiFY THAT I HAVfi READ AND EXAMINED THIS APPLiCATTON AND KNOW TiIE SAME TO BE TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORllINANCES GOVERNING THIS TYPE OF WORK WII I, Bg <br /> ' COMPLETED WITH RRiETHgR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY 7'O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTkIER STA'ffi OR LOCAL LAW <br /> REGULATING CONSTRUCTTON OR THE PERFORMANCE OF CONSTRUCTTON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WFIICH APPLICATION IS MAPE AND I COMPLY WTI'H <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WpC. <br /> X / � <br /> � 3 /'1/5�y Fee—�� <br /> Signaturo Date <br /> � D 1 <br /> �� <br /> clecepp(!IS/91) <br />