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CITY OF EVERfi1'I' <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />�.��TT, WA 98201 <br />Ownor <br />-1�-.� <br />Tenant <br />APPLICATION FO►K ELECTRICAL PERMIT <br />��C)Ili i�,�-y „� <br />Mail Address <br />� <br />Mail Address <br />/I��Gi,,17�✓Elr ��� i .!iao. <br />Elutnc Contractor Mail Address <br />Contract Price of Work <br />��-��-� <br />Projut Address <br />Description of Work to Be Done: <br />L,�h�s �. �1.. � <br />L��Y State/Zip <br />Ciry State/Zip <br />� �/� 9��d/ ,�s�- �/�; <br />C�ty State/Zip Phone <br />—11�'1f !/A <br />Proposed Use of Building <br />� �{ I <br />� / — iX,Z..� U <br />Phone <br />Phone <br />�v�ca <br />���/.��/79c� <br />State License No. <br />u <br />NOTE: WAC 296-46-140 REQi]II�Eg ZgpT PLANS FOR ELECTRICAL WpRK AT EDUCATIONAL, INSTITUTIO <br />HEAI-TH CARE FACILITIES BE APpROVED BY THE STATE OF WASHINGTON. APPLICANTS WIT'H SUCH )OBS <br />MUST SHOW '� STATE qppROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (1vIC AND AC, ARE CqBLES, <br />NOT RACEWAYS). <br />I HEREBy CERTTFY THAT I HAVE READ ,yND EXAMINED THIS APPLICATION AND KNpW THE SAME TO BE TRUE <br />'4ND r�RRECI'• ALL PROVISIONS OF LAWS qT/D OFtDINANCES GOVERNWG T'fiIS TYPE OF WORK WILL BE <br />COMPLETED WIT'H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT' DOES NOT PRESUME <br />TO GNE AUTHORI'I'y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY pTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORM,yNCE 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 CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />Date <br />Fee ��� Q C3 <br />clecnpP (3/5/97) <br />