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i <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CRY OF VERETT <br /> BUILDING DIVISION <br /> 7200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> :590010 <br /> 'Icur- As4ri4 d5o5 sf' S7 sW E1eec- 4- ua ggaoy <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mail Addteo City Swelzip Phone <br /> f t Rl ntMaPpht ICSts l;alt Alia-W!TN4 SQ41tc Lin Qll ss JW-1111 0ORT11C R 131ML <br /> Eledriul Conln<lor Mail Addrut City State/Zip Phone State License No. <br /> .Pt%idrner <br /> Contract Prim of Work Proposed Use of Building <br /> .9f;;-2 '` <br /> Project Address <br /> Description of Work to Be Done: TNOU11ihN 5'ettYL .o-+Lien[ fLa_ t, F. Wfym, <br /> NOTE:WAC 296-46.140 REQUIRES THAT PLANS FOR.ELECTRICAL WORK AT EDUCATIONAL,INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH )OBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS(MC AND AC,ARE CABLES, <br /> NOT RACEWAYS). <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. ' <br /> Signature Date <br /> swMnflr> ) <br />