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APPLICATION FOR ELECTRICAL PERMIT <br /> ctn or EVExs��rr <br /> BUIL.DING DIVISIO.`T <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> S�ilv;a l.(d��nan asU� u� c�or PI. ��,ere �-f-, LU�. �I�zo ► 075� -�O�o <br /> O cr Mail Address City State/Zip Phone <br /> .�A IYIE <br /> Tenant � - � � Mail Address City Slale/Zip - Pbone <br /> Electrical Contractor Mail Addrecs City State/Zip Phooe SGte License No. <br /> � <br /> Contract Price of Work Proposed Use of Belding <br /> ,;ZSU�n V i C�Or ,��Ctce, <br /> Project Address � <br /> Description of Work to Be Done: t\k n��1 C P � 1C1<'f I/1 G b0 re,rl �!�-�� /'�/'1 <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> I-IEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITIi SUCH JOBS <br /> MUST SFIOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMTT 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 EXAT4INED THIS APPLICA'I'fON AND KNOW TAE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NO'f. THE GRAN'CING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AU1'HORIT'Y TO VIOLATE OR CANCEL 'I'HE PROVISIONS OF hNY 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 WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X /�� � � � y ' � <br /> —�f-�"` .�G(�,,,�.-.� �- 3 -�3 F� ,� `-' <br /> � Signature , Datc <br /> �/�/� � I decapp(!/5193) <br /> � <br />