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APPLICATIUN FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUII.DING DIVISION <br />3200 CEDAR STREET <br />EVERE'IT, WA 98201 <br />SELF1r' 1-lo.�.cf, <br />Owner Mail Address City Slate/Zip <br />Teoanc � �� Meil Address � City Sta�e.�Zip <br />Electrical Contractor Mail Address <br />2�000. o 0 <br />Contract Price of Work <br />City State/Zip Phone <br />SfR <br />Proposed Use of Building <br />5lz�L ��u �idE wFsr . <br />Projec: Address <br />Descriptiou of Work to Be Done: 20o A�wiD Sf�Cv�CE <br />259-88f0 <br />Phone <br />P6one <br />State License No. <br />NOTE: WAC 296-46-140 REQUIR::S THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUITONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT 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 APPLICATTON AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES GOVLRNING TI-lIS TYPE OF WORK WILL HE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOi' PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THL PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WFiICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X Q • . <br />'1t1.�/ [�.+s <br />Signature <br />Fee 3S•oo <br />� <br />�./a �� S <br />�t�oerr C�isi9» <br />