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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 /> //% %3"-/ 6`/%,7.)3 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> / 2F—// <br /> Electrical Contractor Mail Address City State/Zip Phone State License No. <br /> Contract Price of Work Proposed Use of Building <br /> Project Address <br /> Description of Work to Be Done: <br /> NOTE 646-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEA' 7 FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> M' STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE TSSUED. <br /> NOTE. NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> N EWAYS). <br /> I HEREBIr 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 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 01' CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER 01' THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION 1S MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X / <br /> Fee <br /> Signature Dale <br /> rtrrarr(1 193) <br />