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APPLICATION FOR �L�CTRICAL PERMIT <br /> CITY OF EVERETT <br /> IIUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,�'A 98201 259-88f0 <br /> � (.S1�7 <br /> i�t, � ,J C�n us�� 7e J �%�� /� �e x 2 i s �e r<:/�i/9 1'a�z a � - I s� � , 6 � <br /> Owner � Mail Address Gty State/Zio P6one <br /> Tenant � � Mail Address - City State/Zip � Phone <br /> ,e' �i n)�f- r��cs����D v�.i Y 'i s i 13�� � ' i I n l s 3-.� r . _ - �, <br /> Electriwl Co trector Mail Address C�ry State/Zip Phone State License No <br /> _.1�-��-'i�' ��rvp O Y i< r Li <br /> Contract Pric� � Proposed Use of Building <br /> � _ z � � <br /> c � � <br /> Project Address � <br /> Description of Work to Be Done: 5 ��- 7t � �<-i � W l V i ,-�f <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIO��AL, INSTI'fUTIONAL OR <br /> HEALTH CARE FACILTTIES BG APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVLRET PER1vIIT WILL BE TSSUED. <br /> NOTE:WIRING IN NON-DWELLINGS iS RFQUIRED TO BE IN METALLIC RACEWAYS (MC ANL AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HERE➢Y CERTIFY THAT I HAVE RLAD AND EXAMINED THIS APPLICATION AND KNO`V THfi SAME TO BE TRUL <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7'YPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AU7'HORIZED BY 7'I�E <br /> OWNL-R OF THIS PROPLRTY TO PL-RFORM THL\VORK FGR WHICH APPLICATION iS A4ADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAH' 18•27 RC�'�' AND 295.200�'�'AC. <br /> X i� ��� � - , �,�� Fec <br /> � � .G�'�",-/�i `� � - / `, <br /> � Signamre . Date <br /> <Iccepp(lISl93) <br />