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CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />APPLICATION FOR �LECTRICAL PERMIT <br />Mail Addrcss <br />S�S <br />r✓E2� II cyJ .� <br />City State/Zip <br />Tenant - -� � Mail Address . . Ciry Slate/Zip <br />dW It=�— <br />Electrical Contrector Mail Address City Stale�Zip Phone <br />Contrac! Price of Work <br />� <br />Proposed Use of Building <br />��/� .� � A�/F %f/l_-�er_ ('� <br />Project Addre^s <br />259-8810 <br />> � sz -6� 2a <br />Phone <br />Phone <br />State License No. <br />� � i Z o l� <br />Description of Work to Be Done: �--1 G-�-�- ���� F �� f L�� � <br />K�=C � ( .4�Lr= � � <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FUR ELECTRICAL'rVORK AT EDUCATIONAL, 1NSTITUTIONAL OR <br />IiEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH 70B5 <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RA SWAYS (MC ANll AC, A.TtE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAN'S AND ORDINANCES GOVERNING THIS TYPE Oi� WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'1'ING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PRJVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULAT]NG CONSTRUCTION Ok THE PERFORMANCE OF CONSTRUCTION. THAT I r1M AUTHORIZED BY THE <br />OWNFR OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATTON IS MADE AND I COMPLY W1TH <br />TY.c STATE COt�TRACI'ORS LAW 18.27 QCW AND 296.200 WAC. <br />.: <br />Si�nature <br />� <br />! <br />1;7;�i <br />Date <br />�i«era nisiv�l <br />