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CIT'Y OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVEREi'T, WA 98201 <br />� �1'�S � <br />�cl`�� i r� <br />Teoaot <br />Elxtrical ContncWr <br />Contnct Price of Work <br />Projxt Addrcss <br />APPLICATION FOR �LECTRICAL PERMIT <br />N Mail Address <br />I/J <br />�� <br />i�L}tRft� <br />)Yc l�(,� <br />City <br />City <br />259-8810 <br />a�� <br />�OT lJ�l 1`�� 3 35 � <br />State/Zip Phone <br />State/Zip <br />Phone <br />Mail Addrcss City State/Zip Phone SGte Lirense No. <br />_ I-�vn� — si r� �e <br />Proposed Use of Building <br />Description of Work to Be Done: <br />' 2oaA <br />C/ <br />NOTE: WAC 296-46-140 REQUiRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTII'UTIONAL OR <br />HEAL'I'H CARE FACILITIES BE APPROVrD HY THE STATE OF WASAINGTON. APPLICANTS WITH SUCH IOBS <br />MUST SHOW THT STATE APPROVED PLANS BEFORE CITY OF EVERET PERMiT WILL BE fSSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CER'fIFY'T'HAT I HAVE READ AND EXAMINED TIi1S APPLICATION AND KNOW THE SAME TO BE TRUE <br />ANll CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 'fHIS TYPE 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 VIOLAI'E OR CnNCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATTNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZF.D BY 'I'HE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH[CH APPLICA7'IUN [S MADE AND I COMPLY WITH <br />T"dE STATE CONTRACi'ORS LAW 18.27 RCW AND 296.200 WAC. <br />X ,��,�� <br />Signatu,e <br />Date <br />Fee �h7 — <br />�i�cerr �ius?i <br />