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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT. WA 98201 <br />4M7r <br />259-8810 <br />Owder Mail Address City State/Zip " Phone <br />Tenfit Mail Address City State/Zip Phone <br />Electrical Contractor <br />Contract <br />ctt Price of Work <br />U ��----C <br />Project Address <br />Mail Address City State/Zip Phone Stale License No. <br />Description of Work to Be Done: : G"Z? <br />Proposed Use of Building <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 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 GRP NTING 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 I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 2.6.200 WAC. <br />X 1 �— �� 3 Fee 21, <br />ignature „'✓ Date <br /><i«err (g93) <br />