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C �� <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVE:t--�TT, WA 98201 <br /> 259-8810 <br /> ��fi!,2'��l�2'� �P�g C , � � <br /> p �U�€ /"'�.E�F!v ��-� �c/� sT <br /> `�er Ma�l Address C�ty . S4telZip Phone '� <br /> Tenant Meil Address . . City State/Zip Phona <br /> Elxtrical Contractor Mail Address City State/Zip Phone State License No. <br /> Coatract Price of Work Proposed Use of Building <br /> Project Address <br /> Description of Work to Be Done: �X!/J? 4� �//�/�.� / <br /> �� ` <br /> NOTE:WAC 296-46-140 REQUIRES'I'[;AT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITU'PIONAL OR <br /> HEALTH CARE FACII.ITIEg gg qppROVED BY TI� STATE OF WASHINGTON. APpI,[C,�IV7�g �y� SUCH JOBS <br /> MUST SHOW'fHE STATE ARPROVED PLANS BEFORE CITY OF EVERET'pERHITT WII;L BE ISSUED. <br /> NOT'6:WIRIN� IN NON-DWELLINGS IS REQUIRED TO BE IN METALL[C RACEWAYS (MC AND qC, ARE CABI.ES, <br /> NOT RACEWAYS). � <br /> I HEREBy CERTIFY THAT I HAVE READ ANp EXAMINED THIS APPLICATION AND I{NOW THE SAME TO BE TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LqWS AND ORDWANCES GOVERNING Tf�S TYPE OF WORK WII,[, gg <br /> COMPLET'ED WI'I'g WHg'I'HER SPECIFIED HEREIId OR NOT. THE GRANTING OF A PERMII' DOES NOT PRESUMg <br /> TO GIVE AUTFJORTI'Y TO VIOLATB OR CANCEL THE PROVISIONS OF ANY OTf�R STAT& OR LOCqI, I,q�y - <br /> REGULATING CONSTRUCTION OR THE PERFORM,yNCE OF CONSTRUCITON. THAT I AM AUTI�ORIZED gy 1TiE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE COIv"I'RqC'I'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> � \' \ / <br /> X � <br /> � ignature ��� � Fce� <br /> � Date <br /> ' E�lra�3 <br /> ��awv�nro3� <br />