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APPLICATION FOR ELECTRICA� PERMIT <br />C1TY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />/� <br />�A�� � <br />i� <br />��F-�?tS f�r�i f�`� �.,<%i� c-z/r���'T -Sc�� =d�='!F/% l�il %-:f_7�� ?S_;-J//� <br />Owner Mail Address City State/Zip Phone <br />Tenaut <br />Mail Address <br />City State/Zip <br />Phone <br />'r.�vv/� F�Ect��t_ i7Pvs" �y./��n✓r .Jr L(%-r.�1���c�l�< al.a. 94a�.z �Yfrc�/b'� �,.�.�EE/fJ.:�/� <br />Electrical Contractor Mail Address City State/Zip i hone State Liceuse No. <br />Contract Price of Work <br />SF� <br />Proposed Use of Building <br />i 2.,2� SS�'��sT suJ Fdr.r� t�A 9�'��J3 <br />Project Address <br />Description of Work to Be Done: /-�U?� A�F <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIT[TI70NAL OR <br />HEALTH C.4RE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANfS W1TH SUCH JOBS <br />MUST SHOW'I'f� STATE APPROVED PLANS 3EFORE CTTY OF EVERET PERIvITT WILL BE ISSi1ED. <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 HAVF READ AND EXAMINED THIS APPLICATIGN 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 WfifiTFIER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCITON. ThAT I AM AUTHORIZED BY TI� <br />OWNER OF THIS PROPERTY TO PERFORM TtiE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />1:� <br />Date <br />�f li���J <br />/ <br />4tJ <br />Fee - <br />clecepp (!/S193) <br />