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CITY OF E�RETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />APPLICATION FOR ELECTRICA.', PERMIT <br />�' 1�►� <br />. � <br />��Ecr {-io�ES <br />OwnW Mail Address City State/ZiP Phone <br />Tenant <br />Elxtrical Contractor <br />O <br />Contract Pria of Work <br />Mail Address . . <br />Mail Address <br />5q 2� �7}1 8R. �.�EST <br />Project Address <br />City State/Zip <br />Ltti-� <br />City State/Zip Phone <br />Proposed Use of Bu�lding <br />D�•scription of Work to Be Done: (e � TEk.P, �EK+/IGE <br />Phone <br />S.ate License No. <br />NOTE: WpC 296-46-140 REQL�IRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTTTUTIONAL OR <br />HEALTH CARE FACILITIES BE A,''YROVED BY Tf� STA', E OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE CTTY OF EVERET PERMIT WII,L BE ISSUED. <br />NOTE: WIIiING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARF CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERT'IFY THAT I HAVE READ AND EXA�tINED THIS APPLTCATION AND KNOW THE SAME TO BE TRUE <br />AND CO?tRECf, pL,I, pROVISIONS OF LAWS ANL� ORDINANCES GOVERidING THIS TYPE OF WORK WILL BE <br />COMPLLTED WITH WHETHER SPECIFIED HEREIN OR NOT. TIiE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE .�UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTTON OR THE PERFORMM'CE OF CONSTRUCfION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORF; FOR WIiiCH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signa[ure <br />Date <br /></�i�' <br />,_ <br />Fce <br />elecePP (3/5/9J) <br />