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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET (�Q ��) <br />EVERETT, WA 9b201 G 259-8810 <br />gat P� <br />Owner Mail Address City State/Zip Phone <br />/jo') <br />Tenant <br />Ms ! .'.ddress City State/Zip Phone <br />Electrical Contra or Mail Address City State/Zip Phone State License No. <br />�5 �)o(Le- /6-d-) <br />Contract Price of Work Proposed Use of Building <br />Project Address <br />Description of Work to Be Done: <br />CAL WORK AT <br />L OR <br />HEALTH CC29646-140 ARE FACILITIES BIEES THAT PLANS FOR A PROVED BY THE STATESOP WASHINGTON.UAPPLICANTS WITH�SUACHJOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT W ILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />1 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 />Signature Dale n <br />elecapp (315193) <br />