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� -, 1 <br /> APPLICATION TOR ELECTRICAL PERNiIT '� <br /> CIT'P OF EVERETT <br /> BUII.DING DIVISION <br /> 32Q0 CEDAR STREET ' <br /> EVERETT.WA 90201 � <br /> 259-8810 <br /> � I <br /> �.oi.n��tiw�x�-/' /�/�i/D �,//�%� ,1�� �.!,'����c�c_ 9�'�3' ��i'/���� <br /> Ow�er Mail Address City State/Zip Phone <br /> Tenant Mail Address Ciry State/Zip Phone <br /> ����� <br /> Electrical Contractor Mail Address City State/Zip Fhone State Licease Nc. <br /> �Y�ll /7L>1✓l/� �/��lr�/J <br /> Contract Price of Work Proposed�e�Building <br /> _S�L�Sf ,��'�h/I�'= C.�z/� L.df �� <br /> Project Address <br /> �%�_ <br /> Description of Work to Be Done: ��/f1• .�-- ,�l/f <br /> NOTE:WAC 296-46-140 REQUIRES TI�AT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTI-I CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE S1.1TE APPROVED PLANS BEFORE CITY OF EVERET PEWv1IT WILL BE ISSUED. <br /> NOTL':WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC .:ND 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 CORRE�T. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HERE[N OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> IcEGULATING CONSTRUCTION OR THE PERFORi�iANCE OF CONSTRUCTION. 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 /> THE STATE CONIRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> �����—��-'�,/G ,���C�—� Fee o��`"' <br /> Signature �� Date <br /> �\ <br /> ciccopp(3/5/97' <br />` <br />