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CIT1' OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />�� <br />Tenant <br />� <br />,-, <br />APPLICATION FOR ELECTRICAL PERMIT <br />i� <br />�� <br />f <br />Mail Add <br />Mail Address <br />S� <br />�-�-St F <br />City <br />City State/Zip <br />Phone <br />Phone <br />Elcetrical Contractor Mail Address City State'�Zip P6one State License No. T� <br />� J+��� �.AM�n_ <br />Contract Price of Work °roposed Use of Building <br />�S00 5�2"-� S-1�. SC <br />Project Address <br />Description of Work to Be Done: f�.(�.M�GI tn�i L�/ <br />' NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECIRICAL WORK AT EDUCATIONAL, WSTITUTIONAL OR <br />HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WA5HINGTON. APPLICANTS W1TH SUCH JOBS <br />MUST SHOW TFIE STATE APPROVED PLANS BEFORE C1TY OF EVERET PER1vITT WII,L BE ISSUED. <br />NOTE: WIItWG IN NON-DWELLINGS IS REQL'!RF.D TO BE IN M'cTALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATtOR` AND KNOW Tf� SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS TYPE OF WORK WILL BE <br />COMPLETED W1TH WHETHER SPECIFIED HEREW OR NOI'. 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 CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPfiRTY TO PERFORM Tf� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� <br />�15•oa <br />�� <br />clecePP (!/5/97) <br />