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:i; <br />, ::;' ., <br />CITY OF EVERETI' <br />BUILDING DMSION <br />3200 CEDAR SI'REET <br />EVEREIT, WA 98201 <br />Owner <br />Tenant <br />� <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Address <br />Mail Address <br />J� <br />19�1�h � !�/ SyHn�C� <br />Elxt+'ical Contrutor Mail Address �ity <br />�( .� <br />Contract Price o: Work <br />� <br />� 6 ' ,i�.t <br />Project Address <br />Description of Work to Be Done: <br />City <br />'`i%ai7 <br />City <br />State/Zip <br />Proposed Use of Bui)ding <br />State/Zip <br />State/Zip <br />P6one <br />259-8810 <br />Phone <br />Phone <br />State License No. <br />NOTE: WAC 296-45-140 R&QUIREg'CHAT PLANS FOR ELECTRICAL WORK AT EDUCATTONAL, INSTITUTIONAL OR <br />HEi1L.TH CARE FACILITIES gg qppROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WiTIi SUCH JOBS <br />MUST SHOW 1'HE STATE APPROVED PLANS BEFORE C1TY OF EVERET PERIv1IT W1I,L BE ISSUED. <br />NOTE: VVIRING I�.� NON-DWELLINGS IS REQUIRED T`O BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLFS, <br />NOT RACEWAYS). <br />I HEREBY CERTIF'Y T'HpT I HAVE READ AND EXAMINED THIS APPLICATION ,9ND KNpVy THE SAME i'O BE TRUE <br />AND CORR&CT', qI,I, pROVISIONS OF LAWS AND ORDINANCES GOVEiWING THIS TYPE OF WORK WILL BE <br />COMPLETED W1T'g W�TggR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL L.pv! <br />REGULATING CONSTRUCT'ION OR THE PERFORMqNCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />�WNER OF THIS PROPERTY TO PERFORM TF� Wp�( FOR WHICH APPLICATION IS MADE AND I �OMPLY WITH <br />THE STATE CONTRpC['pkS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Date <br />� <br />i., i�, <br />��,;1 i� <br />clecaPP (3/5/97) <br />