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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />OL <br />EVERETT, WA 98201 <br />/ <br />10 <br />REmnFJI+ k��� <br />Owner v <br />'n'me' <br />Mail Address <br />City State/Zip <br />Phone <br />Tenant <br />Mail Address <br />City State/Zip <br />Phone <br />3t5�139 . �Ir !f s;� �, 3W-221( i�/arx�z-.tobn� <br />Electrical Contractor <br />Mail Address <br />City State/Zip Phone <br />State License No. <br />k�-?go <br />Contract 15 ce of WorkProposed <br />Use of Building <br />'d111 <br />z G e ' <br />Project Address <br />, <br />Description of Work to Be Done: <br />1 e <br />I�Vvjcp <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT 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 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 BE <br />COMPLETED WITH WHEIhER 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 AUTHORIZED BY THE <br />OWNER 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 <br />Signature <br />.c <br />/O ,2Z - 9 <br />Date <br />j). 7o <br />elecapp (315193) <br />