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C1TY OF EVERETT <br />gUILDING DMSION <br />3200 CEDAR STREET <br />EygR�('1'. WA 98201 <br />Teo�nt <br />0 <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Address <br />Address <br />L9 <br />/� <br />'A►� <br />: � <br />City State/Zip <br />3 <br />c�c;� s�wz�P <br />Phone <br />`c�/7Ul <br />� <br />Elxtricd Con �r Mail Address Ciry State/Z�p Phone State Licwse No. <br />_ r—n <br />� �C� t�l - <br />Contnct Price of Work <br />�. �� \\h, ;� � <br />Projxt Addrcss , <br />Descriptioa of Wor1c to Be Done: <br />Proposed Use of Building <br />0 <br />NO'f6: WAC 296-46-140 REQUIIZES THAT pI-ANS FOR EIECTRICAL WORR AT EDUCATIONAL, INSffi'�1TIONAL OR <br />� HO �F y"�'CA�Ap R VED PI.ANS BEFORfi CfC1' OF EVEREi' PERIvIIT �VII-L Bfi I��; SUCH JOBS <br />NOTE: WIItING IN NON-DV1�LLiNGS iS REQ[7[RED TO BE IN MEI'ALL1C RACEWAYS (MC AND AC, AR& CABLES, <br />NOT RACEWAYS). <br />I�R�gy CER7'IFy THAT I HAVE 1tEAD N`1� EXAMINED THIS APPLICAT[ON AND KA10W THE SAMfi TO BE TRl1E <br />�,MD CORRECf. A1-I- PROVISIONS OF LAW'S AND ORDWANCFS GOVERNING THIS TYPE OF WORIC WQ.L BE <br />COMPLETED WiTH WHEI'HER SpECIF�ED Ii�R��`1 OR NOT. THE GRANTING OF A PERMIT' DOES NOT YRESUME <br />TO GNE AUTHORITY TO V10LA'I'E OR CANCEL THE PROVISIONS OF ANl' �'CH�R STATE OR LOCAL LAW <br />OWNER OF THIS PROP RTY TO PERFORME'fHEWORK�OR WHICH APPL CA ON 5 M� AN� I� OMPLY WIT'H <br />'(T� STATE CONTRACfORS LAW 18.27 RCW AND 296.200 WAC. <br />Signamro � <br />� � <br />elecepp (JISl97) <br />