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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> mHP✓iy i`i9 T[ eS�Jti' /32 &2/0 fcc Ct,-elvFl& lf-fq ��ZO <br /> Owner/ Marl Address city State/Zip Phone <br /> A Iq <br /> Tenant Matt Address <br /> city State/Zip Phone <br /> Electrical Contractor Mail Address City Statc/Zip Phone State License No. <br /> Contract Price of Work Proposed Use of Building <br /> /3a1, n'—" .o/ log ge 3 <br /> ` '• ' <br /> Project Address <br /> r . <br /> 't <br /> Description of Work to Be Done: <br /> 1-22 <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 JOB;; <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 TIE 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 VIM.' <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> Sig(ature Fee �3 OZ; <br /> Date <br /> 43252 cecerc <br />