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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> gVERE'!T,WA 98201 259-8810 <br /> � � � � C�,� a�a� � �� �� s� ��i,� i/ ���� ��s- ���k1 <br /> 0 <br /> Owner ail Address City StatelZip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> �il�a�� �� Y/�c�u� 7�3� il/� /��` /,�o�'G/ �6��zc�G �u���3�o.e/ <br /> Electrical Contrector Mail Address City State/Z�p Phone State L�cense No. , <br /> qs�ii <br /> . � �5 <br /> , �� <br /> �S ,-��� � <br /> Contnct Price of Work Proposed Use of Building <br /> �l5 a5�,� ���� ��� <br /> Project Address '/ <br /> Description of Work to Be Done: �/l�� /��"� c��� ..�� �/Z�� ��U/�� <br /> ��o i .�'� S�'�r� .�r��' - <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAI.OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW TI�STATE APFROVED PLANS BEFORE CTTY OF EVERET PERIvfIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII-L BE <br /> COMPLETED WITH WHHTHER SPECli IED HEREIN OR NOT. THE GRAN'I'ING OF A PERMTT DOES NOT PRESUME <br /> TO GNE AUTI-IORITY 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 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> TIIE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � / 6fZ0/C/> Fae �'J <br /> ,[:�-r�i1�70-cJ � <br /> � Signature Date <br /> / �� � <br /> elecopP(lf5197) <br /> I <br />