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, <br /> i � <br /> t � <br /> 0 <br /> � �`E� APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> 6AKCRCSt' l�ou.BS <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> aC-!r*-3 <br /> Elutrical C:ontractor Mail Address City State/Zip Phooe .ate License No. <br /> � � FR <br /> Contract Price of Work Pro�ose3 Usu of Builling <br /> /0/3 0 2 5� �✓E SE __ <br /> Project Addtess <br /> Description of Work to Be Dcne: TEK70. �ERI//CE <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVF.RET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIREU TO BE :N METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT F�.ACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL P?:JVISIONS OF LAWS AND ORDINANCES GOVERNIIQG THIS TYPE OF �i'ORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT D�ES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHSR STATE OR LOCAL LAW <br /> REGULATING COYSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERI'Y TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WA�. <br /> X <br /> ,tiZ�� �• �'/e�lti'� 2�i�9f� Fee 2 �.00 <br /> Signamre Date <br /> ��rl� <br /> �ieoovv c�rsio: <br />