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CTfY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />HVERfiTf, WA 98201 <br />Oana <br />Twwt , � <br />Elxtrical Contractor <br />Contract Price of Work <br />%_� �3 Lti�l <br />Proixt Addross <br />C <br />APPLICA'CION FOR ELECTRICAL PERMIT <br />Mail Address <br />Mail Address <br />Mtil Addrcss <br />U� <br />Description of Work to Be Done: <br />2 � i � (,�A �Nr� T <br />�v.��?�T� <br />City <br />City <br />City Stete/Zip <br />Proposed Uu of Building <br />State/Zip <br />State/Zip <br />Phone <br />259-8810 <br />sz � <br />Phone <br />Phone <br />Smte Liceose No. , <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br />H&ALTH CARE FACIIITTES Bfi APPROVED BY'Tf�'STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS • <br />MUST SHOW Tf� S1'ATE APPROVED PLP:NS BEFORE CITY OF EVERET PERDiTf WII.L B& ISSUED. <br />NOTE: WIRING W NON-DWELLW�S IS REQUIRED TO BE W METALLiC RAC&WAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CER'fIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TFITi SAME TO B& TRUE <br />AND CORRECi'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WI'1'H Wi�i'HER SPECIFIED IIEREW OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORTI'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATG OR LOCAL LAW <br />REGUTATIN(i CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AU1'IiORIZED HY THE <br />OWNER OF THIS PROPERTY TO PERFORM Tf� WORK FOR WfiICH APPLICATION IS MADE AND I COMPLY WITH <br />Tf� STATE CONIRAGTORS LAW 18.27 RCW AND 296.200 WAC. , <br />X <br />Signaturo <br />-�b —y'? <br />Dete <br />Fee <br />elccepp (JI5/97) <br />