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CITY OF EVERETT <br />BUILDRIG DMSION <br />3200 CEDAR SIREEC <br />EVEREI'f, WA 98201 <br />APPLICATION FOR TLECTRICAL P�RMIT <br />Mail Address <br />Slate/Zip <br />� <br />259-88f0 <br />Phone <br />Tenant � �� � Meil pddress . City SutelZip � Phone <br />i;NNF! a���re,e ��s�s ,s-u^'n�< .vF N/onanu�llf Wa .9Yo71 �P'Yo7Yi riNNFF If)]W1 <br />Elatrical Contractor Mail Address Cily ' StatdZip Phoue Sta[e Liceau No. <br />Conlnct Price of Work <br />GF2 <br />Proposed Uu of Building <br />U]S Sb� ST SW CVl�'CI��W/I 45'�Oi <br />Project Address <br />DescriplionofWorktoBeDone: FuRwq�r SnnL ,�. <br />NOTE: WpC 296-06-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCAT[ONAL, INSTfI'UTIONAL OR <br />HEALTH CARE FACIITftES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANfS WI7'H SUCH JOBS <br />MUS'C SHOW 1i� STA7'E APPROVED PLANS BEFORE CITY OF EVERET PERNSIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN MEfALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />N07' RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATTON AND KNOW THe SAME TO BE TRUE <br />AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERMNG 7'HIS TYPE OF WORK WILL BE <br />COMPLETED WfIH WHEI'HER SPEQFIED HEREIN OR NOT. THE GRAN7iNG OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGU[,ATTNG CONSTRUCI70N OR THE PERFORMANCE OF CON5IRUCI70N. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM Tf� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI7'H <br />THE STATE CONTRACTORS LAW I8.27 RCW AND 296.7A0 WAC. <br />X <br />Dale <br />�i.o�ev PisA�) <br />