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APPLICATION FOR ELECTRICAL PERMIT <br />CIT'Y OF EVERETT <br />BUII.DING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />���9 <br />Mail Address <br />Tenanc <br />� 9�i33 ., <br />City State/Zip <br />%?�dr�cil/ � <br />ciry Stace/Zip <br />Electrical Contractor Mai1 Addmss City State/Zip <br />Contrsct Price of Work Proposed Use of Building <br />0?0 �.�' / � � S� <br />Projxt Address . <br />Description of Work to Be Dane: <br />Phone <br />259-88Y0 <br />Phoue <br />�"3z<!Ts <br />33�-�Z13 <br />Phone <br />State Licease No. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTf2ICAL WORK AT EDUCATIONAL, INS1TT[JTlONAL OR <br />HEALTH CARE FACII.ITIES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE CTI'1' OF EVERET PERIvIIT WII.L BE ISSUED. <br />NOTE: WIRING W NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERITFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRfiCT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br />COMPLETED WITH WHE'I'fiER SPECIFIED FifiREIN OR NOT. THE GRANITNG OF A PERMIT DOES NOT PRESUME <br />TU GIVE AUTfiORTTY TO VIOLA'I'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATTNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TI-IE WORK FOR WHICH APPLICATION IS MAUE AND I COMPLY WITH <br />THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br />:9 <br />Date <br />Fee <br />ciccnPP (!IS/9J' <br />