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�,,pt/ <br /> �� 1 APPLICATION FOR ELECT�tICAL PERMIT �' a � �a�' <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CSiDAR STREET <br /> EVBRETI', WA 98201 259-8810 <br /> �ELECT /���S Phone <br /> Owner Mail Address City State/Zip <br /> Tenaut <br /> . . � Mail Address � City State/Zip � Phone <br /> Lu� <br /> Eixtrical Contracror Mail Addrcss Ciry State/Zip Phone State Licenso No. <br /> � T�-� a6�[E <br /> Contract Price of Work Proposed Use of Building <br /> �629 /sr �-�4 !�c/EST - <br /> Project Address � <br /> Description of Work to Be Done: <br /> � <br /> NOTE:WAC 296-46-140 REQUIRES'I'HAT PLANS FOR ELECTRICAL WORK AT EDUCAITONAL, INSTITUTIONAL OR <br /> AEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH IOBS <br /> MUST SHOW TE�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METAI-LIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HERFBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TI-IE SAAiE TO BE TRUE <br /> pND CORRECT. ALL PROViSIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMFLETED WITH WHETHT—'R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NO'C PRESLTME <br /> TO G1VE AUTHORITY TO VIOLA7'E OR CMICEL 1'HE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCf10N OR THE PERFORMANCE OF CONSTRUCTION. THAT I A1vi .AUTHORIZED BY THE <br /> OWNER OF TAIS PROPERTY TO PERFORM THH WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �..�.Lf,t�a_ /.l `� //�S�9R F� 2S�` <br /> Signaturo ate <br /> clecepp(!/5/9J) <br />