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CITY OF E�/ERETT <br />BUILDING DMSION <br />3200 CEDAR S1REfiT' <br />fiVERETT, WA 98201 <br />J '^ � <br />, <br />�a <br />Tenant <br />_� <br />lectrical Contnctor <br />Contnct Price of Work <br />Project Address <br />APPLICATION FOR F•LECTRICAL PERMIT <br />�6 i 3 ���/-^.� <br />Mail Address <br />Mail Address . <br />Mai! Address City <br />Description of Work to Be Doue: <br />�Q� <br />/�/,✓ - til% <br />City State/Zip <br />Ciry Smte/Zip <br />StatdZip <br />Proposed ilse of Building <br />S�7-✓✓/ <br />259�8810 <br />P6one <br />Phone <br />P6one State Liceosc No. <br />NOTE: WAC 296�46-140 REQUIRES'('HAT PLANS FOR ELECTRICAL WpgI( pT EDUCATIONAL, INSTITITI70NAL Ok <br />HEALTH CARE FACII.tTIES BE APPROVED BY TE� STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE C1TY OF EVERET PERTvIIT WII.L HE ISSUnD. <br />NOTE: WIItIIdG IN NON-DWELLWGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAELES, <br />NOT RACEWAYS). <br />I IibREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Tf� SAME TO BE TRUE <br />AND CORRfiCT, ALL PROVISIONS OF LAWS AND ORDINANCES GOVEiWING THIS TYPE OF WORK WII,L AE <br />COMPLETED WITH WHEI'HER SPECIFIE.'� HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTfiER STATE OR LOCAL LAW <br />1tEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED BY T'FIE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND T COMPLY WI1'H <br />THE STATE CONTRpCTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signature <br />Date <br />Fce ,� % t Q <br />eiecepp (!/5l93) <br />