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APPLICATION FOR ELECTRICAL PERMIT 'jp3g3 <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259.8810 <br /> .r>i/,iT ,71r�.d 237 true 1�ze%So£— <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City Slate/Zip Phone; <br /> /_n7 3 <br /> cx �71f �C •'�u �(llrU s�a �a}�sl�Pf� 1 w`oma! 1�.t �BmQ3 Aff 92zb ELEX (pY_C <br /> Electrical Contractor Mail Address City Slate/Zip Phone Slate License No. <br /> Contract Price of Work Proposed Use of Building <br /> ,e Sy Tie/ )PL tea/ <br /> Project Address <br /> Description of Work to Be Done: 2" <br /> NOTE:WAC 29646-140 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 /> 4ND 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 1 COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> I' y d� <br /> c P�cl+r lr flle f lc� �5/9; Fee _ <br /> Signav x Dale <br /> el«.rr(e15M) <br />