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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 259 8810 <br /> lS4i` K 41,/' Cj f U2 vw vk, fib W; -laz4" <br /> �er l Mail Address City StateiZip Phone <br /> Tenant Mail Addresscity I y state/Zip Phone <br /> Electric I Contractor Mail Address City State/Zip Phone State License No. <br /> Contract Price of Work Proposed Use of Building <br /> 6-a-5) . ,fes a 5� ���u tip '�n3 <br /> Project Address <br /> Descripticn of Work to Be Done: <br /> i <br /> NOTE:WAC 29646-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL. INSTITUTIONAL OR <br /> HEALTH TS <br /> MUST HOCARE <br /> THFACILITIES BE APPROVED BY THE STATE OF WASHINGTON.E STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSSUEDWITIi SUCH ]OBS <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 O <br /> G THIS TYPE OF WORK WILL BE <br /> COMPLETED WI H WHETHER SPECIFIED HEREIN OR ORDINANCES <br /> O .TTTHE GRANTINGNNF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> OREGULATING WNER OF THIS PROPERTY TO TO PERFORM HE N OR THE WORK FOR WHICH APPLICATION ANCE OF CO IS MADE AND 1AUTHORIZEDN. THAT I AM COMPLY NvTH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �G1'1Tl�'llb �rCClt /�1n� �r [CIL Nln -7 <br /> Date <br /> Signature// <br /> �t«epp(31519? <br />