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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />LI�,77,b <br />259.8810 <br />fit\10 <br />Owner <br />51� - <br />Mail Address <br />MGrh CL s[ eVt'vA' <br />City <br />T&aoF <br />Stele/Zip <br />137- d- <br />Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />5c /5 <br />26))Iw [s t ec(+2w <br />Electrical Contractor <br />��ljl � G uauw <br />Mail Address <br />R� �,,�Ruv �A CJ�271 <br />City State/Zip <br />Phone <br />5�vrnerc v94S-11 <br />State License No. <br />Contract Price of Work Proposed Use of Building <br />10q _ W4"-' �T Si <br />Project Address ,,,,�, <br />Description of Work to Pe Done:._ �I tw �G�nSTt?uC�V-2 � ` 1"0 l7 I .70k' '" {� <br />NOTE: WAC 296-46-14') REQUIRES THAT PLAIDS 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 110N-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 13E <br />COMPLETED WIFH 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 T14E <br />OWNER OF TP.IS 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 />l n <br />°° <br />l�� l<q F.. � C, <br />Signature <br />elaept, (1/5/0, <br />