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APPLICATION FOR ELECTRICAL PERMIT <br /> C1TY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 259-8810 <br /> ao ii� ��/�- �J �; �, ,��.,. - , <br /> 3S3a Szvev�. �� <br /> Owner Mail Address City State/Zip Phone <br /> Teoant � � � � Mail Address . City Slate/Zip � Phone <br /> �..,.«,. ��n n���.� 1 Si S �Y,S1i'61„d tv .E: S�ol, w� °f8a5d 334-7dS� DuNca o7bA <br /> Elxtrical Contractor Mail Addrcss City State/Zip Phone State License No. <br /> �OC�O .00 S�rtp.� �a.....I� 1hn.C . <br /> Contract Price of Work Proposed Use o Building <br /> �3`:�� Se.v e r�. �� 3�j.� <br /> Project Address <br /> Description of Work to Be Dooe: C.o�e'�o ��. C�c _ c c 1 D � � F � <br /> � <br /> � <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITfES BE APPROVED BY 7'HE STATE OF WASHINGTON. APPLICANTS WITTi SUCH JOBS <br /> MUST SI�OW Tf�STATE APPROVED PLANS BEFORE CIT'Y OF EVERET PERIvIIT WII.L BE ISSUED. <br /> NOTE:WIRWG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS APPLiCATTON AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. pLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NO'C. THE GRANTING OF A PERMIT DUhS NO'C PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL 7'HE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � �.s� ,_,.__s-�o��� J�1 � � / r'I 3 Fee /-�� . <br /> Signature ' ap� �e <br /> ! <br /> ��� �� <br /> elecapp(J/S193) <br />