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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 T <br /> 259.8810 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address <br /> City State/Zip Phone <br /> 7' —// <br /> Electrical Contractor Mail Address City State/Zip Phone State License No. <br /> COntiact Price of Work 2l�2hie <br /> Proposed Use of Building <br /> Project Address <br /> Description of Work to Be Done: <br /> NOTE:WAC 29646-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <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 /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED T141S APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISICNS 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 C NSTRUCI.ION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPFRTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> XFee <br /> Signature Date <br /> 1 7 ci«epr(3/31911 <br />