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look <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> �� <br /> D x CITY OF EVERETT <br /> H <br /> to BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> K i � EVERETT,WA 98201 259-8810 <br /> H <br /> 050 0 <br /> VJ H <br /> z �m EUPre� � W� iSo2U� <br /> Qy Owner Mail Address City State/Zip Phone <br /> n• n <br /> z H Tenant Mail Address City State/Zip Phone <br /> Cy HyH <br /> to t A .4*L3 <br /> t Electrical Contractor Mail Address City SutelZtp Phone State License No <br /> H En S r R <br /> q O L' Cont.act Prise of Work Proposed Use of Building <br /> £& 59 tac ate Lcii Li <br /> Project Address <br /> ' Description of Work to Be Done: o'LOO A-vv.tri I W t'P I�t'_W t'P SIGY�2��� - <br /> 1 <br /> IJ <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 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 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 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 /> X (UyGGers.. Q jsi� 5 /7/13 Fee .S oo <br /> Signature Date <br /> aiee.pp Or5ro3) <br />