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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVEREI"f, WA 98201 <br />259-8810 <br />K�J��I Sw�.t,Tt� t\b\3 '1T� PL S i. l..K S�'iJC�iS �il qk2_.STf �3S o845 <br />Owaa' Mail Address City State/Zip P6one <br />�- �lb��— <br />Twanc . <br />Elxtrical Contractor <br />Address <br />Mail Address <br />PR-�ct o-F' wtAi�x.R.,.F�4S <br />Contract Price of Work <br />City Stnte/Zip <br />City ' State/Zip Pho..e <br />c�c,.sta.,,r� 2�s � ps..,�-�..,� <br />Proposed Uu of Building <br />23 ZO 5.... w. .-v� �� h�f t— in) .� 'r t� (� . <br />Projxt Address <br />Description of Work to Be Doae:._L�L\.. w� 2� N L �i ^SLv�n4�.f�— <br />Phone <br />State License No. <br />NOTE: WAC 296rt6-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSITT[71TONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY Tf� STATE OF WASFiIIdGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW TI-ffi STATE APPROVED PLANS BEFORE CITY OF EVERET PERIviIT WII.L BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAELES, <br />NOT RACEWAYS). <br />I iiSREBY CERTTFY THAT I IIAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAM& TO BE TRUE <br />AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCPS GOVEIWING THIS TYPE OF WORK WII,L BE <br />COMPI.6TED WITH WIiETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULpTING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUGTION. THAT I AM AUTHORIZED HY THE <br />OWNER OF THIS PROPERTY TO PERFORM Tf� WORK FOR WHICH APPLICATTON IS MADE AND I COMPLY W1TH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />— ( (— <br />Date <br />/ <br />�///�=, <br />Fee �J <br />elecepp (3I5l9]j <br />