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t <br /> ANN <br /> Ic APPLICATION FOR ELECTRICAL PERMIT Cr <br /> ,p W x CITY OF EVERETT <br /> BUILDING DIVISION <br /> t H to 3200 CEDAR STREET OL <br /> ~-3 r EVERE7T,WA 98201 259-8310 <br /> K � <br /> 0 = 0 <br /> H ti ~ �/• �' 71z,-f/ Z37 Zw- 9rj� <br /> K'1 O Owner Mail Address City State/Zip Phone <br /> Or <br /> Hmg <br /> 0 n <br /> a y <br /> Tenant <br /> G� Mail <br /> Address City Stale/Zip Phone <br /> O U ti <br /> g❑ Electrical Contractor Mail Address Ctly State/Zip Phone State Lcemse No. <br /> RM _ <br /> H to O <br /> H 0 to Contract Price of Work Proposed Use of Building <br /> P-9, 59 rN JF'.l.'ce- .4ti.) <br /> Project Address <br /> Description of Work to Be Done: 2 A�-A grMI CE &92 6L-19rP T <br /> cz) <br /> C1 � <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 /> =1-' NOT RACEWAYS). <br /> t 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 /> REGULATI\ F <br /> OWNER FNTHIS PROPERTTYON OR THE TO PERFORM THE WORK FOR WHICE OF H <br /> A APPLICATION TION IS MADE AND II COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X . <br /> ?J', i/ (f `1ylriu� { 7/43 Fee-9!1,00 <br /> Signature <br /> Date <br /> decaPv(15193) <br />