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I <br />� <br /> APPLICATION FOR �LECTRICAL PERMIT <br /> CIT'Y OF EVERETT � <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> _S1,1f.FCT HOT+iFS 17811 8th AVF.._47. EUH�tL'I'T F1A. 98204 <br /> Owner Mail Addtess City State/Zip Phone <br /> Tenant Mail Address 1 City S�ate/Zip Phone <br /> LM-3 _ <br /> Elutrical Contractor 1+Iai1 Address City Slate/Zip Phone State License No. <br /> N/� TIIKPORARY <br /> Contract Price of Work Proposed Use of Building <br /> 5732 10th DR. 4!. �e�r �( <br /> Project Address . <br /> Description of Work to Be Done: TFI�IPORARY <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INS:TTUIIONAL OR <br /> HEALTH CARE FACII.ITIES RE APPROVED BY THE STATE OF WASffiNGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CiTY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO DE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVB READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT, qLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WfIETHER 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 LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE aF CONSTRUGTION. 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 STATL CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> � F� �� <br /> Signature ate <br /> � ?��� <br /> dccopp Q!5l97� <br />