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CCfY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STkEET <br />EVEREIT, WA 98201 <br />APPLICATION FOR �LECTRICAL P�RMIT <br />:/� <br />'I�►, � <br />r <br />1ER�CrI �GKS �Ns7,E✓ci�o�✓ <br />�µ':.� Mail Address Ciry State/Zip P6one <br />Teoant <br />Electrical Contnctor <br />Z�d . <br />Contract Price of Work <br />Mail Addrus <br />.� 5�L8�/fSot" SY.I <br />Mail Address <br />J� — �'/ S{ S. k/ �✓C'2t�f7 <br />Project Addrcss <br />Ciry State/Zip <br />L y�v n� iniao �j J7f� �SL 3d <br />Ci y State/Zip Phooe <br />S,nr9�r_ f-.vini�y <br />Proposed U e o( Building <br />Description of Work to Be Dooe:. GV/,6� /S� Nr$�'✓ s•F� 2 <br />P600e <br />:�CC-ri� /04�8 /C <br />State License No. <br />NOTE: WAC 296-06-140 REQU[RES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUT70NAL OR <br />HEALTH CARE FACILiTIES BE APPROVED BY 7HE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MiJST SHOW 'I'FIE STA7'E 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 7'HAT I HAVE READ AND EXAMINED THIS APPLICATTON AND KNOW THE SAME TO BE TRUE <br />AND CORREGT. pLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL $E <br />COMPLE'I'ED WITH WHETHL•R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AU77iORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGllLA7'ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED HY THE <br />OWNER OF THIS PROPERTY TO PERFORM THF. WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />7'HE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signaturu <br />Dale <br />o�ooerr O�sio, <br />