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CITY OF EVF.RETT <br />BUl.DiNG DMSION <br />3200 CEDAR STREET <br />EVERETT, Wq 98201 <br />� <br />L.g �. � <br />��� <br />Teo�nt <br />£ � 2 ctrk, <br />Elx�rical Contnctor <br />Contracl Frice of Work <br />APPLICATION FOR �LECTRICAL PERMIT <br />Mail Addrcss <br />M�il Addross <br />P,�� Q,n � <br />Meil Addresa <br />,�,�� <br />City ' Slate/Zip <br />City S4tdZip <br />City SvtdZip <br />_ SFR <br />Proposed Use of Building <br />Lari3 <br />�qv-��'Is <br />P6one <br />P6one <br />:E f,r o81 <br />Phone State Liceose No. <br />Description of Work to Be Done: _ �� �Q�,�/ ��( �� Z�A �, � ,�/v�Ce <br />NOTE: WAC 296�6-140 REQUIRES THAT PLANS FOR ELfiCTRICAL WORK AT EDUCATTONAL, INSTITif170NAL OR <br />HEALTH CARE FACILTI'IES BE APPROVEG BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW TFIE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT W?LL BE ISSUED. <br />NOTfi: WIRiNG IN NON-DWELLINQS IS RSQUIRED TO BE IN METALLIC RACEWAYS (MC AND pC, ARE CABLES, <br />NOT RACEWAYS). <br />1 HEREBY CERI7FY THAT I HAVE READ AND EXAMiNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS ANn ORDiNANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WI7 H WHETHER SPECIFIED HEREIN OR N()T. THF GY.ANfING OF A PERMTT DOES NOT PRESUME <br />TO G1VE AUTHORiTY TO VIOLA7'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PE•RFORMANCE OF CONST�UCf10N. T9AT I AM AUTHORIZED HY THE <br />OWNER OF THIS PROPERTY TO PERFOF.M THE WORK FOR WHiCH APPLICATION IS MAT�E AND I COMPLY WITH <br />THE STATE CONTRACTORS LA'vV 18.27 RCW AND 296.2IXi WAC. <br />y�s�� <br />� <br />35 <br />eleapp Q/5/9J) <br />