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c c� <br /> APPLTCATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUII.DING DMSION <br /> 3200 CEDAR STREET <br /> EVEREI'f, WA 98201 <br /> 259-88f0 <br /> /�obekt �D Sc,l�c�c �A�'cY o03 26r�f rr �-U�',et7/' 4� 9�.2a/ ?r8�-c <br /> Owner Mail Addrcss City State/ZiP Phone <br /> Teaant Mail Address . Ciry State/Zip Phone <br /> Se /i' <br /> Electrical Contractor Mail Address City State/Zip Phone Stete Liceose No. <br /> Gfrru <br /> Contract Price of Work Proposed Use of uilding <br /> 3Gb3 - 21�� �-- <br /> Projxt Address _ <br /> Description of Work to Be Done: CJ�'�P� G,o2s9� <br /> s <br /> NOTE:WqC 296-46-140 REQUIRES T'H,yT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BH APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WITH SUCH IOBS <br /> MUST SHOW TF�STATE APPROVED PLANS BEFORE CTTY OF EVERET PERMTf WILL BE ISSUED. <br /> N�TB:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CER'I'IFY THAT I HAVE READ AND EXAMWED THIS APPLiCATION AND KNOW Tf�SAME TO BE TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNWG THIS TYPE OF WORK WII,L BE <br /> COMPLE'I'ED WITH WHg'I'HER SPECIFILD HEREW OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME � <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE YROVISIONS OF ANY OTHER STATE OR LOCAL LAW � <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTlON. THAT I AM AUTHORIZED BY T!� i <br /> OWNER OF TFIIS PROPERTY' TO PERFORM THE WpRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X I <br /> -�.�' �O � q- �7- F� � _� <br /> Signamre Date <br /> � �t�i �Ol <br /> �i«.�pisro3� <br />