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Ai'PLICATION FOR �I,�CTRICAL P�RMIT <br /> crn or EVEtzETr <br /> BUII,DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> SFT,FCT HOMFS 1?811 8th AVF, ld #A—�01 EVERL•'IT Y?A, �8204 513-9006 <br /> Owner Mail Address City Slate/Zip Phone <br /> Tenwt Muil Address City State/Zip Phone <br /> I,M-3 <br /> Electrical Cor.!ractor Mail Addrus City Stale/Zip Phoue State License No. <br /> N�A TII+4PORARY <br /> Contrect Price of Work Proposecl Use of Building <br /> �`830 10th DR. W. (LOT 81 ) <br /> Project Address <br /> Description of Work to Be Done: T�MPORARY <br /> NOTE:WAC 29G-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTI'IES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS ! <br /> MUST SHOW TI-IE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN hfL-TALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I AEREBY CERTIFY THAT I HAVL READ AND EXAMINED THIS APPLICATION AND Y.NOW THE SAME TO BE TRUE <br /> AND C012RECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES N01' PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATB OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CCNSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORT�4 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE GJNTRACTORS LAW 18.27 RCW AND 296.200 H'AC. <br /> � Fee �J <br /> Signature , Dale <br /> G/��� 7�' <br /> =�<cnrr(3l5/v3> <br /> ---- -. —..—�-'"- �---�- --' �� <br />