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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET OLr <br />EVERETT, WA 98201 i <br />259-8e10 <br />fE,c2y c,A/S �oNST 9-5-3-00gz <br />Owner Mail Ad.lress City StatelZip Phone <br />Tenant Mail Address City <br />ve/l��✓7 E�ur�•� �N4 s7Lf5 45 �1 G <br />Electrical Contractor Mail Address City <br />30040 <br />Contract Price of Work Prop <br />�p L — Si/ •`ter $ . ct/ <br />Project Address <br />Description of Work to Be Done: Tom' 21✓ <br />State/Zip <br />Statedzi <br />OVA/ 7ji <br />Phone <br />Aen I .-1 <br />of Building <br />p Phone <br />�t//li'eSi= /off /CF <br />-Sz3o <br />State License No. <br />S <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />I4EALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. 4PPLICANTS 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 />>` t_J <br />Signature <br />Wz -)a / <br />1-1-7 - ot3 <br />Date <br />elecapp (315193' <br />