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-d. <br />APPLICATION FOR EI,ECTRIC.AL PERNIIT <br />CiTY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERfi"Cf, WA 98201 <br />u��R <br />259-88f0 <br />L�LL�. �,, .,� /`n-,�-/'��r/O i��, �Y--�/,��,/ � /,�', :•r_ 6 ���1 a3�3 _ <br />p,�,ner 1 Mail Addcess City State/Zip PLone <br />T.•annt Mail Address Ciry Sta�alZip Phone <br />r+�� �� <br />E;xtrical Contractor Mail Address Ciry Statei2ip Phone State License No. <br />Contract Price of Work <br />.� ; � � f+� <br />Proposed U:z of Building <br />Prnject Address ' <br />Description of Work to Be Done: �� �l%l�✓r��" .�� �r'�='� <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIUiVAL, INSTINITONAL OR <br />HEALTH CARE FACII..I'fIES BE APPROVED BY TI� STATE OF WASHINGTOIV. APPLICANI� WiTH SUCH JQBS <br />MUST SHOW Tf� STATE AFPROVED PLANS BEFORE CITY OF EVERET PSRIvITT WII.I. BE ISSUED. <br />NOTE: WIRING IN NON-DWELLING� IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABL.ES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ �1ND EXAMINED 'iHIS ,�.PPLICATJON AND KNOW TF� SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCLS GOVFR_*?ING THIS TYPE OF W�?i'.K WB.L BE <br />COMPLETED WITH WfifiTi�R SPECIFIED HEREIN OR NOT. THE GR4N'�'ING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STf+TE OR LOCAL LAW <br />REGULATING CONSTRUGTION OR THE PERFORMANCE OF CONSTRUCTION. 7'HAT I AM Ai1THORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TI� �WORK FOR WHICH AF'PLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />�C— –' <br />a— <br />Date <br />oC7� <br />Fee � <br />decuPP (3I5/9JJ <br />