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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259.8810 <br /> �LEGT o <br /> Owner Mvil Address <br /> City Slate/Zip Phonr. <br /> Tenant Mail Address <br /> City Slate/Zip <br /> Phone <br /> Electrical Contractor Mail Address .4 R-3 <br /> City State/Zip Phone <br /> Do State License No. <br /> Contract Pnce of Work <br /> ,1 <br /> - Proposed Use O( uilding <br /> ProJect AdL d esSS n r- 4C/ L <br /> Description of Work to Be Done: <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 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 <br /> NOT RACEWAYS). BE IN METALLIC RACEWAYS (MC AND AC, ARF. CABLES, <br /> gyS�, <br /> I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME r0 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 GR <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O I ANYFOTHER STADTEEORNOT <br /> LOCALSLAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> THE ST OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.2W WAC. <br /> X <br /> Signature / 2SjQ� reel o <br /> Date TT <br /> �v <br /> elacapr f315ro3 <br />