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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERE7T, WA 98201 <br /> / 259.8810 <br /> /n� <br /> ,GoSC �J� /1�C-S /Lt�4���ur- b2 Iyi✓c Gye Sm <br /> Owner Mail Address City State/Zip Phone <br /> SAW e. <br /> TenantMailMail Address City State/Zip Phone <br /> ,5Gle- LTA fle-7121eAC- /(17e l �ymoke !T 3bod $4W 1)1 W,4 <br /> Electrical Contractor Mail Address City State/Zi Phone State License No. <br /> sro -�s3-Gt3s- c=c,rc-cam i3a8� <br /> Contract Price of Work Proposed Use of Building ) <br /> /8 - 76_/y P/ S-0 1;DOQ U P/'s l/} tJl f w ) <br /> Project Address <br /> Description of Work to Be Done: 92 "C.. <br /> i <br /> NOTE:WAC 296.46-14U REQUIRES THAT PLANS FOR ELECOUCAL 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 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 THIS 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 /> Fee �S <br /> Signature Date <br /> F C) <br /> ciccapp(3/3197) <br />