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W <br />CITY OF EVERETT <br />BUP DING DIVISION <br />3200 CEDAR STREET <br />EVERE'IT, Wq qg201 <br />�ner <br />r, <br />� <br />APPLICATION FOR ELECTRICAL PERM�T <br />Mail Address <br />Mail qddress <br />� G ) � <br />Elxtrical Contnclor Mail qddress <br />Conlrect Price of Work <br />Projxt Address <br />City <br />City <br />CitY 1 SGIe/Zip � <br />�. <br />?ro�ased psc of Building <br />Stete/Zip <br />State/Zip <br />Phone <br />337 3�°� <br />P6one <br />3��°I�1� <br />State Licenre No. <br />_— � <br />NOTE: WpC 296-46-140 REQUIRES T►{qT p[ qNS FOR ELECfRIChL WORK AT EDUCATTONAL, INSTI]'U77pNqi, OR <br />HEALTH CARE FACILITTES BE APPROVED BY THE STATE OF WASHINGTON. APpLICANTS WI'/'H SUCH 10BS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE; W/RING IN NON-DWELLMGS 1S REQUIRED TO BE IN METALLIC RACRWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AppLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECI', qLL PROV1510NS OF LAWS AND ORDINANCES OOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PGRMIT DOES NOT PRESUME <br />TO GIVE AUTFIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCqL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CUNSTRUCT�ON. THAT I AM AUT}IORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION 1S MADE AND I COMPLY W1TH <br />THE STATE CONTRA�pRn �p�y �g.27 o�.W ANU 296.200 Wq�, <br />/ \ � <br />� <br />�� �r�a� <br />��e�err 0�5�9)� <br />