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CITY OF EVERETT <br />BTJIIJDING DMSION <br />3200 CEDAR STREET <br />EyEgbTI', WA 98201 <br />Tenant <br />Electrical <br />`� �`c'-C��. ��U <br />Contnct Price of Work <br />APPLICATION FOR ELECTRICAL PERNIIT <br />Mail Address <br />naa«5 <br />Mail Address <br />�.4h c <br />��I�� -l�� �7� �11P'��� � lri 1 <br />Project Address <br />Description of Work to Be Done: Ti �/1�o dv � <br />City <br />c�o ��296 <br />v ��_ <br />City State/Zip <br />StatelZip <br />State/Zip <br />Phone <br />/i1✓.� <br />'1�►i <br />� <br />?�Q <br />Phone <br />P6one <br />.31r��/9� <br />State License No. <br />1 r1�1 J <br />i i r'� !' — r, z�- . <br />Proposed Use of Building <br />Np'1'E• WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />MU3T HOW THE STATE APPR VEn P ND BEFORE CI'I'Y 0 EVE1tET PERMIT WILL BE IS �D�TH SUCH JOBS <br />NOTE: WIRING IN NODi-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY Tf=iAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW 'rHE SAME TO BE TRUE <br />AND CORRECT• ALL PROVISIONS OF LAVdS AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHEK SPECIFIED FiEREIN OR NOT. THE GRANTINCi OF A PERMIT DOES NOT PRESUME <br />i0 GIVE AUTHCRITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED BY THE <br />OWNER OF'I'HIS PROPERTY TO PERFORA�i THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACfORS LAW 18.27 EC1'�' AND 296.200 WAC. <br />�3 <br />� �.?n • . <br />Date <br />Signaturo <br />-�c <br />L� I�1 ciccnpp (lI519J1 <br />