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CTI'P OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Owner <br />Tena�t <br />APPLICATION FOR �LECTRICAL PERMIT <br />•f//=', <br />Address <br />Mail Address <br />259-8B10 <br />:<<t711' [r�z'�/-2i-�'� <br />State/Zip Phone <br />City State/Zip <br />Phonu <br />/TL�' — /� <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />Contrect Price of Work <br />S�'r �iv /ii�2� <br />Proposed Use of Building � <br />— �r �-��I �.lcr-I�,�l 5� �✓ C<�f l�/ <br />Project Address <br />Description of Work to Be Done: <br />!. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br />HEALTH CARE FACII.TTIES Bi3 APPROVED BY THE STATE OF WASHINGTON. APPLICANPS WITH SUCH JOBS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNO'JV THE SAME TO BE TRUE <br />AND CORRECT, qLL PkOVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS TYPE OF WORK WII.L BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. 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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PE2FORM THE WOkK FOR WHTCH APPLICATION IS MADE AND I COMPLY WITA <br />THE STATE CO.NTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />Date <br />clecapp (3I5/93) <br />