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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF VERETT T <br />BUILDING DIVISION <br />3200 CEDAR STREET (7T <br />EVERETT, WA 98201 <br />259-8810 <br />2 �S,T . c ,, z 82.v 3 <br />Mail Address City State/Zip Phone <br />Tenant 4 Mail Address <br />City State/Zip Phone <br />�_'�y 1100 )^ L <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />Contract Prire of Work <br />Project Address <br />Description of Work to Be Done: <br />of <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CAFE 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 />140TE: WIRING IN NON -DWELLINGS IS REQUIRED TO BS 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 TIES 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 />N_ <br />Fec�, <br />��� 73 deCAPP (315/93) <br />