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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERE77 <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> r 259-8810 <br /> ��4 2E 'ef \lie/Op-)z' <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> e�n �? 33Y�93y <br /> jL llfyi t"it tAJI a Y�� ��vl ?alS ,fl// k'4- <br /> Electrical C tractor ).4at1 Address City Sta e�— Phone State License No. <br /> Contract Price of Work Proposed Use of Building <br /> q -6/-CY si, oS. 10- <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 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 \VITH 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 I 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 18.27 RCW AND 296.200 WAC. <br /> X � <br /> /6 /t'( i ( /!( 4/(1//-/4 9-'7;'-& Fee <br /> Signature Dat <br /> W07Lr <br /> clecepp 0/5/95) <br />