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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Owner Mail Address <br />Tenant Mail Address <br />Electrical Contractor Mail Address <br />Contract Price of Work <br />Project Address <br />Description of Work to Be Done: <br />OL <br />259-8810 <br />City State/Ztp Phone <br />City State/Zip Phone <br />City State/Zip Phone State License No. <br />Proposed Use of Belding <br />NOTE: WAC 29646-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT ::DUCATIONAL, INSTITUTIONAL OR <br />HEALTH MUST HOCARE <br />THE STATE APPROVED O <br />FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS wrTH <br />D PLANS BEFORE CITY F EVERET PERMIT WILL BE ISSUED. SUCH JOBS <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 />REGULROFATHIS PROPERTY ION OR THE PSRFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND II COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />o('d <br />Date <br />decepp (I/51931 <br />