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i,o'P i 9 <br /> r <br /> APPLICATION FOR �L�CTRICAL PERMIT L� �,�y o <br />� <br /> 1 CI'i"'Y OF EVERETT <br /> BUI�.DING DIVISION <br /> 3200 CEDAR STREET <br /> EYERETT, WA 9b..01 259-8810 <br /> f <br /> onx cxFST xor�s I '371 '3. Coy+h YJ !� S� Snntiovn�s I� 9£s��f0 <br /> Owner Mail Address City StatelZ�p 3 Y�o/�� <br /> 3 � <br /> Tenant Mail Address City Stste/Zip Phoae <br /> LN:-3 <br /> Electrical Contractot Mail Address City State/Zip Phone State License No. <br /> 200U.00 RFSIDFNCE <br /> Contract Price of Work Ptoposed Use of Building <br /> 10107 26th AVE, S E �..o�— � -` <br /> Project Address <br /> Description of Work to Be Done: 20� � s����� �� ��OR, T—STAT <br /> NC'"E:WAC 296-46-140 REQUIRES THAT YLANS 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 EVERET PERIvfIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-LWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I FiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> COPLET'ED WIT LWHETHER SPECI�IED HE NDOR NOT.�THE GRANTNGNOF AHPERMIT DOES NORT PRESL7ME <br /> 1'0 GIVE AUTHORITY TO VIOLATE C�F CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> OWNER OF HI3 PROPERTY TO PERFORM' T EWORK FOR WH CH APPLIC�TION IS MADEA�+ND I��MP 7' �'ITH <br /> THE STATE CONTRACTORS LAW 15.27 RCW AND 296.200 WAC. <br /> � <br /> x 3/ F� �=— <br /> ignature Dat <br /> �t«orv�Is�v�) <br />