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CT1'Y OF :iVEI'E1T <br />BUILDING DMSION <br />3200 CED AR STREEI' <br />EVERET".', WA 98201 <br />� <br />Twant <br />r. <br />� <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Addr�ss <br />Mail Address . <br />City <br />City <br />StaWZip <br />StateJZip <br />� <br />259-8810 <br />P6one <br />PLone <br />'%f; // <br />Blectrica( ContracWr Mail Address City Sfate/Zip Phone State Licease No. . <br />Conhact Price of Work <br />_� <br />�•— �i tk <br />Project Address <br />Description of Work to Be Done: <br />66 <br />Pmposed <br />• ' NOTE: WAC 296-46-140 REQUIItES THAT PLANS FOR ELE(.TRICAL WORK AT EDUCATfONAL, INSTTfUTIONAL OR <br />HEALTH CARE FACII ITIES BE APPROVED BY Tf�' STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW Tf� STA7' : ARPROVED PLANS BEFORE C1TY OF EVERET PERIvITT WII,L BE ISSUED. <br />NOTE: WIRWG IN NON-DWEI.LINGS IS REQUIRbD TO BE IN METALLIC ZACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIIIY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Tf� SAME TO BE TRUE <br />i AND CORRECf. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORg WII,L BE <br />� COMPLEfED WITH Wf�THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br />` TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />; RECiULATlNG CONSTRUCITON OR THE PERFORMANCE OF CONSTRUGTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TIi <br />Tf� SfATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />SignaNro <br />6� "v7�' <br />Date <br />Fce �Jr <br />a�'�� elecePP (!/S193) <br />