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0 <br />CITY OF E VERE'I'I' <br />BUII.DING LIVISION <br />3200 CEDAR SIREE'I' <br />EVE1tE7'f, WA 98201 <br />Owner <br />Tenant <br />Electrical Contrac:or <br />Contnct Price of Work <br />� �� <br />; Project Address <br />� <br />� <br />r. , <br />APPL[CATION FOR ELECTRICAL PERMIT <br />�M�;� nad ' <br />; <br />Mai! Address <br />Mai1 Addrcss C��y <br />Desc��rtion of Work to Be Done: <br />City <br />Ciry <br />State/Zip <br />Proposed Use of <br />� <br />' ,�: <br />� <br />259-8810 <br />State/Zip <br />Statr�Z�p <br />Phone <br />A '� <br />Phone <br />� <br />Phone <br />State Licwse No. <br />NOTE: WqC 296-46-140 REQTJIggg 'fF�qT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSITTUTIONAL OR <br />HEALTH rARE FACILITIES Bg pppROVED BY THE STATE OF WASHWGTON. APPLICANTS W1TH SUCH JOBS <br />MUST SHOW Ti� STATE AppROVED PLANS BEFORE C1TY OF EVERET' pggMlT' Wn,L BE ISSUED. <br />NOTE: WIRING W NON-DWEI,LdNGS IS REQ[JIRED TO BE IN METALLIC RACEWqyS (MC AND AC, AR& CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTTFY THqT I HAVE RE,SD pIJD gXqMWED THIS APPLiCATION AND KNpW 'fHE SqME TO BE TRUE <br />AND CORRECf• ALL PROVISIONS OF LAWS ANU ORDIN,9T7CES GOVERNIIVG 'THIS TYPE OF WORK WII,L gg <br />COMPr.FT�'p �y� �ry��R SPECIFIED HEREIN OR NOT. THH GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHp]t17'y TO VIOLATE OR CAt3CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRiJCI'ION OR THE pfiRFpRMqMCE OF CONSTRUCTTON. THAT I AM qUTHpRIZgD BY TN.E <br />OW*' .^. OF THIS PROPERTY TO PERFORM THE Wpgg FOR '.?'f?ICH APPLICATION IS MADE AND I COMPLY WITH <br />Z'`��` :�,TE CONTRAGTORS LAW 18.2'i RCW AND 296.200 W';;;'. <br />X <br />Signature <br />-ss yy <br />Date <br />�3375 <br />�t�corv �rsro» <br />