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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT. WA 98201 <br />U�2100 <br />OL <br />259.8810 <br />-t? c ft" Dea.V 'rdri .4.1 p g s T <br />Owner Ee�e.e:7r wa 9{' 03 Mail Address City 3 s 3- 7 0-2-7 <br />Y State/Zip Phone <br />Tenaut <br />Electrical Contractor <br />/DO. DO <br />Contract Price of Work <br />Mail Address <br />•�•^.. nwrc55 <br />_&ga Y .6/ sT E <br />Project Address <br />Description of Work to Be Done: <br />City State/Zip <br />Phone <br />City State/Zip Phone State License No. <br />G Jr___ I . -r if. ro0 <br />Proposed Use of Building <br />P-7 a -? <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES HE 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 <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. MADE AND i COMPLY WITH <br />R � o o �t.' rY.s wat . <br />Signature <br />Date <br />O� <br />Fee <br />elecapp (3/5193) <br />