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�bT <br /> APPLICATION FOR ELECTRICAL PEIWIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 159-8810 <br /> Al4E <br /> Owner Mail Address <br /> City Stale/Zip <br /> Phone <br /> Tenant Mail Address <br /> City Statc/Zip <br /> Phone <br /> Electrical Contractor Mail Address "' <br /> Cily State/Zip Phone <br /> -- z^ State License No. <br /> Contract Pnce of Work ._�-Fizw- 540 P <br /> Proposed Use of Building <br /> Projecl Address <br /> Description of Work to Be Done: <br /> W frbu,E' Zoo <br /> NOTE:IVAC 296 46-140 REQUIRES i NAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTI <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTONONAL® <br /> . APPLICANTS WITH SUCH )OBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE JSSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (TIC 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES T 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 18.27 RCW AND 296.200 WAC. <br /> X <br /> Signature / Z <br /> Fee ^00 <br /> Efate <br /> L�� elecePP p/Sioi <br />