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CITY OF EVERET'I' <br />BiJII,DING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />owner <br />Tenaot <br />T� l� <br />Electrical Con[ractor <br />Contract Price of Work <br />APPLICATION FOR �LECTRICAL PERNIIT <br />Mail Address <br />Mail Address <br />Mail Address <br />City <br />City <br />City State/Zip <br />si� c�'J/ <br />Proposed Use of Buil� <br />� S6�'/�/ SE (n�- %/ rrFd� <br />Project Address <br />Description of Work to Be Done: <br />State/Zip <br />State/Zip <br />Phone <br />259-8810 <br />6'!'�/ e7,� <br />Phone <br />Phone <br />State License No. <br />NOTE: WAC 296-46-140 REQUIREg '(TiAT PLANS FOR ELECTRICAL WORK AT EDUCATtONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILTTIES BE �PPROVED BY THE STATE OF WASHINGTON. APPLICANTS W11'H SUCH JOBS <br />MUST SIiOW TF� STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WILL BE ISSUED. <br />t70TE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, .ARB CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTffY THqT I HAVE READ AND EXAMINED THIS APPLIC'ATION ,4ND IWOW THfi SAME TO BE TRUE <br />AND CORitECI', ALL PROVISIONS OF LAWS AND ORDIN,qNCES GOVERNING THIS TYPE OF WOIu{ WII,L gg <br />COMYLETED WI1'H WHETHER SPECIFIED HEREIN OR NOT. THE GRANI'ING OF A PERMIT DOES NOT PRESUME <br />TO �IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTiiER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUT[-IpRIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TI� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONT'RqCT'ORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signature <br />�'-i� 93 <br />Date <br />�// 73t� <br />elecaPP (!1SI97) <br />