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CIT7 OF EVERETT <br />BUILL:NG DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />/":: <br />Owne� <br />Tenaot <br />APPLICATION FOR ELECTRICAL PERMIT <br />_ � �� <br />Mail Address <br />� � - Mail Address - <br />.� // <br />Electrical Contractor <br />Contract Price of Work <br />� �.5�� '�-r �`• <br />Proiec�ess � <br />Mail Address <br />Descriptian of Work to Be Done: <br />f <br />City <br />City <br />Ciry State/Zip <br />Proposed Use of Building <br />���,l� C L�IG-�,� <br />State/Zip <br />State/Zip <br />Phone <br />y�F� <br />259-8810 <br />Phone <br />Phone <br />State License Np. <br />NOTE: WAC 296�6-140 REQUIRES THAT PLr.NS FG�R ELEGTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACIIITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI7'H SUCH JOBS <br />MUST SHOW Tf� STATE APPRO'VED PI:ANS BEFORE CTTY OF EVERET PERWIIT WII.L BE ISSUED. <br />NOTE: WIRING I^'. NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Tf� SA} `E TO BE TRUE <br />AND CORREC'1', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 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 AUT'HORITY TO VIOLATE OR. CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TIIE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X //��i/�• <br />Signature <br />/ <br />" _�: <br />;G <br />Datz <br />Fee �7�7� <br />ciecnpp (3I5193) <br />