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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Ownw � Mail <br />,nl� <br />Teoant <br />Mail Address <br />ElxUical ConcruWr Mait Addrcss <br />`Vfl �•� <br />Conhact Price of Work <br />�0��. llG.l�E'✓ ��Ya� <br />Project Address <br />Dcscription of Wor� to Be Done: <br />c ��� ef � fr �-P� <br />c�cy <br />Ciry <br />q��03 <br />s�wz�P <br />State/Zip <br />- ��OI 7S9 S�31 <br />City State/Zip Phone <br />5'F IZ <br />Proposed Use of Building <br />74�—$�,p <br />Phone <br />Phone <br />�a�i�l L.ti044 <br />State Licease No. <br />NOTE: WAC 296-16-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTTNITONAL OR <br />HEALTH CARE FACILI'fIES BE APPROVED BY TFIE STAT& OF WASHINGTON. APPLICANfS WTfH SUCH JOBS <br />MUST SHOW Tf� S'fATE APPROVED PLANS BEFORE CfCY OF EVERET PEFWIIT WII.L BE ISSUED. <br />NOT6: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, AR& CABIFS, <br />NOT RACEWAYS). <br />I HEREBY CERTTFY THAT I HAVE READ AND EXAMINED TiiIS APPLICATION AND IWOW Ti� SAMfi TO BE TRUE <br />AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br />COMPLETED W1TH WF�THER SPHCIFIED HEREIN OR NOT. TfiE GRANTING OF A PERMTT DOES NOT PRESUME <br />TO GNE AUT'HORI'i'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCITON. THAT I AM AUTHORIZED BY Tf� <br />OWNER OF THIS PROPERTY TO PERFORM TI� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRAC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signeturo <br />��aR l9� <br />Date <br />N�w� <br />decePP (!/SN7J <br />