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r� <br /> � <br /> R� APPLICATION FOR ELECTRICAL PERMIT `'(a��3 <br /> CITY OF EVERETT <br /> gUILDING DMSION <br /> 3200 CEDAR STREET <br /> gVERETT,WA 98201 259-8810 <br /> 'S' � �/ ct <br /> pH,oa Mail Address C�ry State/Zip Phone <br /> Twant Mail Address City State/Zip Phone <br /> .L�3 <br /> Electrical Contractor Mail Address City StatelZip Phone State Licensa No. <br /> Contnct Price of � Proposed Use of Building <br /> 5�i2 /sr ��t !�! <br /> Project Address <br /> Description of Work to Be Done: <br /> NOTE:WAC 296�-06-140 REQ"JIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIT[TITONAI. OR <br /> HEALTfi CARE FACILTIIES BE APPROVED BY THE STATE OF WASHII�IGTON. APPLICANT3 WiTH SUCH JOBS <br /> MUST SHOW Tf�STATE 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 THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> COMPLETED WITH WFiETHER SPECIFI DAHE NDORRNOT. TFICE GGRANTWGIN F A PERMTT DOE NOT PRESUMfi <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> OWNER FNTHI3 PROP RTrYOTO PERFORM THEWORKCFOR WH CH APPL CATION IS M�AND oCOMPLY WITH <br /> THE STATE CONTRACI'�RS LAW 18.27 RCW AND 296.200 WAC. <br /> X �f/'..t.GCw.�w.-- Q ///�t� /�S/93 Fce 25.00 <br /> Signaturo <br /> Date <br /> decnpP(315/9i <br />