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APPLICATION FOR � "L�CTRICAL P�RMIT <br />CITY OF EVERETT <br />BUTLDING DIVISION <br />3200 CEDAR S'l'REET <br />L•VERETT, WA 96201 <br />lssnc2 U��crniFs b�17 -i� �vE. l�l. G-vEf'c-1T k.�/�}- `�d'•20�1 3�s-�,�3�/ <br />Owner Mail Address City State/Zip P6one <br />Tenant Mail Address City State/Zip Phonc <br />„z37s-13o���NF"�IOz <br />���4G S��7S�'1S //�!� IJ6LGGvc���� 9�GYa�I J('7G,-881-7i� I .L iYAL.S�=�'7��3 <br />Electrica: Contractor Mail Address City SL•ile/Zip Phone State License No. <br />Cantract Pricn of Work <br />Sf!-r� � A S A-F� ✓E <br />Prnject Address <br />Proposed Use of Building <br />Description of Work to IIe Done: S�Gu.�[ %�f .S �.ST�M <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEP_I.'T1I CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOAS <br />MUS1' SHOW THE STAT'L APPROVEn PLANS BEFORE CTTY OF EVERET PERA:4IT WILL BE ISSUED. <br />NOTE: WIRiNG :N NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I I-IEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THB SAME TO BE TRUE <br />AI�TD CORRECT. ALL PROVISTONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />CGMPi.ETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMI'I' DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIODIS OF AN7' OTHER STATE OR LOCAL LAW <br />?tEGULATIKG CONSTRUCTION OR THE PL-RFORMANCE OF CONSTRUCTION. THAT I AM AU1'HORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANll I COMPLY WiTH <br />THE STAT: COtITRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Date <br />F�`� 3D, c� C� <br />i <br />��� el<cn�p (J/5197 <br />