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l� 3� <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> gUILDING DMSION <br /> 3200 CEDAR STREET <br /> EyERE'[T,WA 98201 259-8810 <br /> �'�t.E�r ,c.lo,�s Phone <br /> Owner Mail Address City State/Zip <br /> M <br /> Teoont <br /> Mail Address Cily State/Zip P6one <br /> �/a.'3 <br /> Electrical Contnctor Mail Address City State/Zip Phone State Licenu No. <br /> ! 700 00 �FR -_ <br /> Contnct Price of Work Proposed Use of Buildi;ig <br /> Se23 /'�� �� - <br /> Project Address <br /> Description of Work to Be Done: � l�l�SP11// �5 <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCA'I'lONAL, INSTITUITONAL OR <br /> HEALTfi CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PER1vITT 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 TI�SAME TO BE TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLE'fLD ''TTH WIiETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATfi OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PLRFORMANCE OF CONSTRUCTION. THAT I At�t AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLiCAT10N IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW hND 296.200 WAC• <br /> X l IC Fee <br /> Signature , ate <br /> elecepp(ilSl9l) <br />