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APPLICATION FOR �LECTRICAL PERMIT <br /> c[rY oF EVExErr <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERbTT, WA 98201 <br /> 259-88f0 <br /> ��� J,�]I Z ����Tl�_L�,CS,� . l� �]• RZ5 <br /> Owner Mail Address City . tate/Zip Phou—e— <br /> Tenant . � � ' Mail pddress - . City State/Zip � Phone <br /> (Jh ' � <br /> Electrical Contractor Mail Address City State/Zip PLone State Licease No. <br /> "t 7.C]fl�l.� /�5�� <br /> Contract Price of Work Proposed Use of Building <br /> 7YID� - �a , �a. �ar �2� <br /> Project Address . <br /> Description of Work to Be Done: � A� ��[��I)�'F� � S��l <br /> NOTE:WAC 296-46-140 REQUIFjES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WSTITUTTONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WIPH SUCH JOBS <br /> MUST SHOW TIiE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT R4CEWAYS). <br /> I HEREBY CERTIFY TFiAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BB <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULA'fING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED BY THE <br /> OV/NER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �'�,..�/ z � <br /> Fec <br /> ignaWre , ate <br /> �7�9sa <br /> clecorP(7/5/9]> <br />