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c- c <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CIT'Y OF EVERETT <br /> BUIT�DING DMSION <br /> 3200 CEDAR STREET <br /> EVERETf,WA 98201 <br /> 259-88f0 <br /> SS�,,. n�(�u�(' <br /> Owner Mai1 Address City State/Zip PLone <br /> Teamt .. Mail Address . . Ciry StaWZip . Phone <br /> —1 At),�1 h � � <br /> Elxtncal ConUactor Mail Address City State/Zip Phone State Licwse No. <br /> Contnct Price of Work Proposed Uu of Building <br /> Projxt Address _ , <br /> Description of Work to Be Done: �-0(J� — S,P/I�G/.t C..e� <br /> ' NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELEC!'RICAL WORK AT EDUCAITONAL, INSITI'�JTIONAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVL•D BY Tf� STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE C1TY OF EVERET PERMIT WII,L BE ISSUED. <br /> NOTE:WIRING IN NON-DWF.LLINGS IS REQiJIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CqBLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERITFY T'fiAT I HAVE READ AND EXAMINED THIS APPLiCATION A1VD KNOW THE SAME TO BE TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED WITH WHET'I-IER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRfiSUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTf�R STAT& OR LOCAL LAW <br /> REGULATING CONSTRUCI'ION OR TFiE PE[tFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED BY T'F� <br /> OWNER OF THIS PROPERTY TO PERFORM TI3E WORK FOR WHICH APPLICATlON IS MADE AND I COMPLY W1TH <br /> Tf�STATE CONTRAGTORS LAW 18.^_7 RCW MiD 296.2IX1 WAC. <br /> X �J <br /> �� /��� Fa 3��� <br /> Signature Date <br /> � ���� <br /> �.��,s,�, <br />