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CITY OF EVERETT <br />BUII.DING DIVISION <br />3200 CEL'.1?'. STREET <br />EVERETT, WA 98201 <br />�, ,(���D, <br />Owner <br />APPLICATION FOR ELECTRICAL PERMIT <br />Address <br />City State/Zip <br />259-8810 <br />��02/,,, � , , <br />Phone <br />Teuant Mail Address �J City State/ZiP Phone <br />/,Sd�L�%% �/� i'�!l/!' <br />- � '� �/ � 7�� •�� /7S ' �36 �F- 2v�o gJ�E�GfS3402/ <br />Elutricat Cuntractor Mail Address City State/Zip hone State License No. <br />� 3�rx� `� or.v�o S % /2 <br />Contract Price of Work r <br />Proposed Use of Building <br />ri <br />Projcet Address <br />of Work to Be Done: <br />S� <br />f �-pi C�JCI <br />� J ��j�'tl. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACII,TTIES BE :,PPROVED BY THE STATE OF WASHINGTON. APPLICAIvTS WITH SUCH JOBS <br />MUST SHOW T'HE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS ?S RTiQUIRHD TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREEY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORREC'['. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITI-J WHETHER 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 TH: PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORI�I THE WORK FOR WHICH APPLICATION IS MADE .AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X__����rititJ ���(/�.�JI1C� <br />Sionature <br />�-��- y.s <br />Datn <br />Fee�_ <br />clecnPP (J/S/97) <br />