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CITY OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVERE'IT, WA 98201 <br />Uwer <br />Tenant <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Address <br />Mail Address <br />City <br />City <br />TE -// <br />Electiical Contractor Mail Address City State/Zip <br />�b�l-, <br />Contract Price of Work Proposed Use of Buil� <br />�6 .� �PGS� /��i�Ij�� �T 6rf <br />Project Address <br />Description of Work to Be Done: �O a� +- Ov%C <br />State/Zip <br />State/Zip <br />Phoue <br />259-8810 <br />Phone <br />Phone <br />State Licease No. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOi2 ELECTRICAL WORK AT EDUCATIONAL, INSTITUTlONAL OR <br />HEALTH CARE FACII.TTIES BE APPROVED BY TEIE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MU;T SHOW TEIE STATE APPROVED PLANS BEFORE C1TY OF EVERET PERIvIIT WII.L BE ISSUEIi. <br />NOTki: NIRING W NON-DWELLINGS IS REQUIRED TO BE IN MBTALLIC RACEWAYS (MC AND AC, ARE C.IBLES, <br />NOT RACEWAY S). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TI-IIS APPLICATION AND KNOW Tf� SAME TO BE TRUE <br />AND CORRECT. ALL PTtOVISIONS OF LAWS AND ORDINANCES GOV'�RNING THIS TYPE OF WORK WII.L BE <br />COMPLETED WITH WHLTHER SPLCIFIED HEREIN OR NOT. THE GRAN'I'ING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEi TiiE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY Tf� <br />OWNER OF TFIIS PROPERTY TO PF.:RFORI�I THE WORK FOR WHICA APPLICATION IS MADE AND I COMPLY WlTH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.2001VAC. <br />X <br />Signature <br />Date <br />Fee�_ <br />. <br />r�Dq� <br />ciccnPP (315193j <br />