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APPT,ICATION FOR ELECTRICAL p�RMIT <br />Cfl'1' OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />E��TT, WA 96201 <br />CJD�Lr, �� �oc f ��UB l�-� �` <br />Owner Mail Address <br />Tenant <br />Contract Price of Work <br />� <br />Mail Address . . <br />Mai1 qddress <br />Ducriptioo of Work to Be Done; <br />City <br />City <br />State/Zip <br />259-88f0 <br />Phone <br />CitY StateJZip Phone <br />�3v-a%3�f <br />n IP.IA �i''o � � .Zn �%F��.�r��- <br />�tate/Z�p Phone State License No. <br />Proposed Use of Building <br />NOTE: WAC 296-46-140 REQ(iiREg'�-�qT PLANS FOR ELECTRICAL WORK qT EDUCATIONAL, INSTITUTIONAL OR <br />�AI-TH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS 1i�ITH SUCH JO➢S <br />ML1ST SHOW THE STATE APpRpygD PLANS BEFORE CITY OF ; VERET PERMIT' WII.L 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 TI-IqT I HAVE READ AND EXAMINED THIS AFPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECI', pLi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TypE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANI'ING OF A PERMIT DOES NOT PRESUME <br />TO GNE AU'CHORITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFOWvfrWCE OF CONSTRUC'TION. THAT I AM AiJ'I'HORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APYLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� <br />Sionature <br />% �2�-9 F� � a�.-�= <br />Da�e <br />�i«orv �isr9» <br />