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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 O#a-77 <br />/ 259.8810 <br />Owner Mail Address City State/Zip Phone <br />S�,Me <br />Tenant Mail Address City Stale/Zip Phone <br />5 JJ'' /%I� �,;�/ ? 7S_c�Uvv <br />Gr-e 1��CG (�/�C 'Wola `^✓���t[ `✓ �t/w gjL3� (fbe, uJfc� <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />Contract Price of Work Proposed Use of Building <br />7<,y 7l <br />Project Address <br />Description of Work to Be Done: 1e /9416 ( Ale <br />NOTE: WAC 29646-140 REQUIRES THAT PLANS FOR ELECTRICAL 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 ISSI IED. <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 7O 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 CONSTRUCTIO I OR THE PERFORMANCE OF CONSTRUCTION. TI4AT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Fee <br />Signature Date <br />elecepp (3/3,931 <br />