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lA� � � <br /> APPLICATION FOR ELECTRICAL PERI�IIT <br /> CITY OF EVERETf <br /> SUILDING DMSION <br /> 3200 CEDAR STREET <br /> E��TT, WA 98201 <br /> 259-8810 <br /> T eS <br /> Owner � Meil Address City State/ZiP P6one <br /> Tenant Mail Address City State/Zip Phooe <br /> _ /, IL� -3 <br /> Elxtncal Contracror Mail Address City StatdZip Phone State Licen:e No. <br /> —� '`�' �r-sinr-Nc� <br /> Contract pnce of Work Proposed Use of Building — <br /> 57�(O ��T ��., . <br /> Pro�ect Address <br /> Description of Work to Be Done: �,(�() au,,� S�ur� �' �1�N� <br /> / <br /> NOTE:WAC 296-46-140 REQiJIRES'('[;AT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW'('/�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT V1RLL 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 CER7TFY'!T-IpT I HAVE READ AND EXAMINED 7HI5 APPLICATION AND KNOW THE SAME TO BE TRU5 <br /> AND CORItECf, qLL pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED WITg WI-IETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AU7'HpRITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PFRFORM,qNCE OF CONS'fRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM fHE WORK FOR WHICH APPLICATION IS MADE nND I COMPLY WITH <br /> THE STATE CON7'RpC1'ORS LAW 18.27 RCW qND 296.200 WqC. <br /> X <br /> � Fee <br /> S� nature Date <br /> ����D� <br /> decePp(3/S/o91 <br />