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APPLICATION FOR �L�CTRICAL P�RMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />/� <br />�A�� � <br />i <br />�%��<�! /�h�_> JAN.tc•:r.✓ S�7�o S..s-L ytt,a,.._ /=.<..,cr wv� 96'2�� <br />Owner Mail Address Ciry State/Zip Phone <br />Teoant <br />Mail Address <br />City Stale/Zip <br />Phone <br />�oe f � �lLfj,/G ' <br />Electrical Contractor Mail Address Ciry Slale/Zip Phone State License No. <br />�.;COo p' � G�.,..�t.c �.c,i <br />Contract Price of Work Proposed Use of Building <br />/ Y�o - Sv.rt 5�f[ �'�..c .c'.•e,,...s ..✓�A <br />Project Address . <br />Description of Work to Be Done: .. ii e iNJ✓C. ��� /-' �-���� ��: �-SQ— vi �z �{ d� p/n � o <br />(,Ji�"(` �OJ i0w� .�th✓icG <br />NOTE: WAC 296-46-140 RLQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUSI' SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BL ISSUED. <br />NOTE: WIRiNG IN NON-DWELLTNGS TS REQUIRED TO BE IN METALLTC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AYYLICATION AND KNOW THfi SAME TO BE TRUE <br />AND CORRECT, ALL PROVISIONS OF LAWS AIvD ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HL-REIN OR NOT. THE GRANTING OF A PERMI'C DOES NOT PRESUME <br />TO GiVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHE.R Si'ATE OR LOCAL LAW <br />RLGULATING CONSTRUCTION OR THE PL-RFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STA7'E CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />G,J 7 O� <br />do�orr Oisra� <br />