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, _, <br /> APPLICATION FOR �LECTRICAL PF,RMIT <br /> CITY OF EVERE'iT <br /> BLTIL.DTNG DM5fON <br /> 3200 CEDAR STREET <br /> EVERE7'f, WA 96201 <br /> 259-881 U <br /> c � <br /> , ,--, i� � �� - <br /> � S`v�i c;c� 5� ��L _' > � � �`� � S ]- � c� �',���Q� � � r���) �1i2� <br /> � r lail Addrcss City Stete/7,iP�%�5�:'�` Phone <br /> Tmant Mail Add:ess City State/ZiP Phoee <br /> � �T30 <br /> �ectrical Contrector blail Addresa City Slate/Zip P6one State License No. <br /> � <br /> � � L � <br /> D , C� �� �� � <br /> ��" �� �i, r (' <br /> Contnct Pria of Work Proposed Use of Ruilding <br /> � �, �) ���5� �!' ��L S�, <br /> Project Address <br /> 1r � <br /> Descriplion of Work to Be Done: -��1 S'1 i• I � l' (-�'C� v"� < <� I `j c , �i, �- L' I �� (,� 1 �, <br /> NOTE:WAC 296�6-140 REQUIItES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITU'f10NAL OR <br /> HEALTN CARE FACILITIE5 BE APPROVED BY THE STATE OF WASHINGTON. APPLiCANTS WITH SUCH JOBS <br /> T4�JST SHOW T[�STATE APPROVED PLANS BEFORE CITY OF EVERET PERtvIIT WII,L HE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NUT RACEWAYS). <br /> I HEf.EBY CERTIFY THAT I HAVE READ AND EXAMINED TIiIS APPLiCATTON AND KNOW THE SAME TO BE TRUE <br /> AND CORRECI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVEiWING THIS TYPE OF WORK WII.L SE <br /> COMPLETED WITN WHETHER SPECIFIED HEREIN OR NOT. THE GRAN7'ING OF A PERMiT DOES NOT PRESUME <br /> TO GNE AUTHORIT'Y TO VIOLATE OR CANCEL THE 1'20VISIONS GF ANY OTHER STATfi OR LOCAL LAW <br /> REGULATING CONSTRUCi'ION OR THE PERFORMANCE OF CONSTRUCIION. THAT I Atvf AUTHORIZED EY THE <br /> OWNER OF THIS PROPERTY TO PEkEORTvPTIfE WORK FOR WHICH APPL[CATTON IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW �7 RCW AND 296.200 WAC. <br /> � � <br /> �j / <br /> X �� G, �� S � /�� <br /> Fee <br /> Signaturo , � Date <br /> �i«�rv�isro�i <br /> L� <br />