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� 3� - _ <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> HUILDiNG DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-88f0 <br /> �C��t^�T l�N1F� <br /> Owner Marl Address City State/Zip Phoue <br /> « <br /> ��xT LL�(�.Es <br /> Twant Mail Address . City Smte/ZiP Phone <br /> L1M �rrsr�r /�. L� � <br /> Elxtncal Conlraclor Mail Addrcss City Stale/Zip Phone State License No. <br /> `X's[`f�.'� �=S/lE.���C <br /> Contract Price of Work Proposed Use of Building <br /> _Sb�3 1��. /,� . <br /> Project Address <br /> Description of Work to Be Done:�4�� �Q�/(`� <br /> - 7=S-rnT <br /> �e <br /> NOTE:WAC 296-46-140 REQUIRES'I'HpT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSITTUITONAL OR <br /> HEALTH CARE FACII,TTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SIiOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PER2vIIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 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 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR TIiE PERFORMANCE OF CONSTRUCI70N. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORIi FOR WHICH APPLICATION IS MADE AND I CUMPLY WITH <br /> TFiE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> � Fee <br /> �. �gnature , ate <br /> �� I`� (� <br /> � <br /> clecepp(!IS/9)) <br />