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APPLICATION FOR ELECT..*@ V , <br />CITY OF EVERETT AUG . D <br />BUILDING DIVISION S 1994 <br />3200 CEDAR STREET 0TY'0-f <br />EVEREIT, WA 98201 Public Wo ks Dept T] 259-8810 <br />Grl5t4'r,n� 17F.Nlo.,J - <br />1✓ i Lis<V P.6 ; p <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City State/Zip <br />Phone <br />UC 0i.N Fi(Z ° fkc)1.'6 I1_ IN rvG 41.. .CC i'Vuc WA, e.+.-aus-c Sri IIEC.14 rc-144gx , <br />Electrical Contractor Mail Address City State/Zip Phone ' State License No. <br />i-t I. - - 6.r c��t-a.. ,,, c,.,, <br />Contract Price of Work Proposed Use of Building <br />,,i'-.It ... i P.wa. Ac 9051.,' 1 S <br />Project Address <br />L <br />/vo <br />iDescription of Work to Be Done: 'I 9 r, -..< c, ;1 r " ^ t IT eW. /- a1 <br />' rs.v <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 />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 A vI 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 />Fee �`a <br />Signature Date <br />