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APPLICATION FOR �L�CTRICAL P�RMIT <br />CITY OF EVERETI' <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVER&'IT, WA 98201 <br />y���,7 <br />259-8810 <br />U�►�\�a� �o�� �I ��h S�-Sw ��+ ��Zd3 7�5-�ui�i <br />Owuer Mail Addross Crty State/ZiP Phooe <br />Teuant <br />Addrcas <br />� N-�a�e � 3 �� <br />Elcetrial Contractor Mnil Addre: <br />� 1C40o <br />Contract Price of Work <br />City <br />�i � ✓c <br />City State/Zip <br />��=-�?� <br />Proposed Use of Building <br />��13 �4�' S-I- c,J <br />Pro�ect Addrese <br />Description of Work to Be Done: <br />Slatn/Zip <br />Phone <br />Phone <br />State Licenso No. <br />NOTE: WAC 296�6•140 REQUIRES'I'HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WSTlT[JTTONAL OR <br />HEALTH CARE FACILITIF'S BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WTfH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIIiING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLTC RACEWAYS (MC AND AC, ARE CAHLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY 7TIAT I NAVE READ AND EXAAfINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORREC[', ALL PROVISIONS OF LAWS ANA ORDINANCES GOVERNING THIS TYPE OF WORK WILI, HE <br />COMPLETED �VITH WI-Ifi'('gER SPECIFIED HERE[N OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE qU'[gpgr(�y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL IAW <br />REGULATIN(1 CONSTRUGTION OR THE PERFORAfANCE OF CONSTRUCTION. THAT I AM AU7'HORIZED BY 'fHE <br />OWNER OF THIS PROPER'I'Y TO PERFORM THE WORK FOR WHICH APPLICATTON IS MADE AND 1 COMPLY WIT'H <br />THfi STATE CONTRAC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br />_.e.._.,..,, Date <br />00 <br />Fee ��� � <br /><ie�arr �isro» <br />