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� � <br /> � <br /> APPLICATION FOR �LECTRICAL PERMIT <br /> CITY OF EVERETT <br /> .3UILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> S�r�-r .1�,,SG <br /> �w Mail Address City State/ZiP Phono <br /> i <br /> Teoant Mail Address Ciry State/ZiP Phouc <br /> CM - � <br /> Electncal Contnctor Mail Address Ciry State/Zip Phone Sta�e Liceuu hu. <br /> Contnct Price o�rk Propos��.ng <br /> �Z�I�J- �l��Tr <br /> Projxt Ad mss <br /> Description of Work to Be Dona ������f.� G/��'�(,�'7;5�,� _ <br /> NOTE:WAC 296-46-140 REQiTIRES'('HqT PLANS FOR ELECTRICAL 11'ORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TI-I SUCH JOBS <br /> MUS'C SHOW T'f�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELT.INGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACfiWAYS). <br /> I HEREBY CERTTFY THAT I HAVE READ AND EXAMINED TIlIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC'C, pLI, pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME <br /> 'f0 GNE pUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTiON OR THE PERFORMANCE OF CONSTRUCi10N. THAT i AM AUTHORIZED HY THE <br /> OWNER OF THIS P:tOPERTY TO PERFORM THE�1'ORK FOR WHICH APPLICnTION IS 1�1ADE AND I COMPLY WI7'H <br /> THE STATE CONTRACTORS LAW t8.27 RCW AND 296.200 WAC. <br /> 3 F�j�' <br /> Signaturo na�C <br /> ���/� dccuvp(l,5�?,� <br />