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I <br /> Epp APPLICATION FOR ELECTRICAL PERMIT <br /> Hod �1ub71 <br /> H CITY OF EVERETT <br /> H BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> 3 EVERETT,WA 98201 259-8810 <br /> K n <br /> H <br /> brx0i � <br /> — <br /> pz Owner Mail Address City Sate/zip Phone <br /> H C7 <br /> Q N <br /> (f Y n <br /> City State/Zip Phone <br /> z H Tenant Mail Address <br /> Hx <br /> g0 ��3 <br /> o C1 En Electrical Contractor Mail Address City Sate/Zip Phone State License No. <br /> m /Boo's- <br /> H o r Contract Price of Work Proposed Use of Building <br /> 2'l 69ny PC 3w cer Sb <br /> Project Address <br /> Description of Work to Be Done: Al A) 1104-6 Zoo NkP <br /> �+ <br /> J <br /> ,_,ft <br /> NOTE:WAC 296.46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> m 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 /> 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 GfF kNTING OF A PERMIT DOES NOT PRESUME <br /> �'-wA ft� TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTEUCfION. 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 b1e19p3 Fee-59 6—'e <br /> Signature Dale <br /> d« rr c18re11 <br />