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APPLICATION rOR �L�CTRICAL P�RMIT <br />CITY OF EVERETT <br />BUILDING DNISION <br />32f10 CEDAR STREET <br />EVERETT, WA 98201 <br />/�a � f�o w� (� <br />`6 f � <br />o�u M�i <br />c��y <br />259-8810 <br />=��u3 <br />Phone <br />Tmnut . " � Mail Address . City Slnle/Zip • Phone <br />,o L-� � _f{,9v� �=,��"lf �cA ��;�f ���-1!G( <br />Contnctor Mail Address <br />Controct Price uf Work <br />Project Addcass <br />Descriptiou of Work lo Be Done: <br />Cily State/Zip Phoue <br />Proposed Use oF Building <br />� AN55/y z�P <br />Slate Liceuse No. <br />NOTE: WAC 296�6-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATL OF WASHINGTON. APPLICANTS WITH SUCH 10BS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF E': E[tET PERMIT WILL BE ISSUEU. <br />NOTE: WIR(NG IN NON-DWELLINGS IS REQUIRED TO B6 IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVG READ AND LXAMINED THIS APPLICATION AND KNOW THG SAME TO BE TRUE <br />AND CORRECC, pLL PAOVISIONS OF LAWS AND O}tD1NANCES GOVEItN1NG TH15 TYPE OF WORK WILL BE <br />COMPLLTED WITH WHETHER SPGCIFIED HEREIN OR N01'. THE GRANTING OF A PERMIT DOfiS NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATL• OR CANCEL T}IE PROVISIONS OF ANY O'fHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR T!-jE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICII APPLICATION IS hiADE AND ! COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />SignaWro <br />?, 00 <br />Fee J�7 � <br />Dale <br />.� ✓ � � elee�PP �%/Si <br />