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MIN <br /> APPLICATION FOR ELECTRICAL PEM1IT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259.8810 <br /> Ouncr Mai Address City Slate/Zip Phone <br /> Tenant Mail Address City Slate/Zip Phone <br /> 44 - g55v 11 <br /> 1,v4- 7S321 NE /Zs-' RA'// A'4-24B& c &Z66-r 340 J0.1. <br /> Electrical Contractor Mail Address City Stale/Zip Phone Stale License No. <br /> ACS : L16S7- a-" Sr- Ac <br /> Contract Price of Work Proposed Use of Building <br /> Project Address / �7 <br /> Description of Work to Be Done: <br /> NOTE:WAC 296-06.140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH )OBS <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 WITH WIiETHER 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 /> Fee <br /> Signature Date <br /> decepp(1/5�91'. <br />