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APPLICATION FOR ELECTRICAL PERALIT <br /> Crit OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8010 <br /> )Wey C 3 /b 933SIO <br /> 6woer I Mail Address City State/Zip Phone <br /> C 7CflCV <br /> Teoant Mail Address City State/Zip Phone <br /> EIContra r Mail Address City <br /> SStateiZip Phone State License No. 1 <br /> 5- alk <br /> Contract Pnce of Work Proposed Use of Building <br /> C�� '`7 � lam/ <br /> Project Address <br /> Description of Work to Be Dooe: eC / <br /> NOTE: WAC 296-46-140 REQUIRES THAT PL.-aNS FOR FLECTRICAL NVORK AT EDUCATIONAL, INSTITUTIONAL OR t. <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF wASI?LNGTON. APPLICANTS WTI-H SUCH JOBS t <br /> MUST SHOW THE STATE APPROVED PLAN.'; BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE CJ METALLIC RACEWAYS (MC AND AC, ARE CABLES. <br /> NOT RACEWAYS). <br /> I <br /> I HEREBY CERTIFY THAT I HAVE READ AND EX:V41NED TF?S APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVE?;TING THIS TYPE OF WORT: WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GR VNTING OF A PERIAIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS GF ANY OTHER STATE OR LOCAL LANV <br /> REGULATING CONSTRUCTION OR THE PERFOR-MANCE OF CONSTRUCTION. TIIAT I AM AUTHORIZED BY THE <br /> OWNER OF THIe PROPERTY TO PFRFOR-M ITIS WORIK FOR '-11?ICIi APPLICATION IS MADE AND I COMPLY \VITT: <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> 1 Signature Date <br /> l� <br /> clunpp <br />