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-� APPLICATION FOR ELECTRICAL PERMIT <br /> -3 <br /> x <br /> CITY OF EVERETT <br /> BUILDING DIVISION 44E77 <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> 7 75 <br /> Owner Mail Address City Suite/Zip Phone <br /> g <br /> Tere.nt Mail Address City State/Zip Phone <br /> z <br /> � .----- ;! , � ''%f-L, ,�y,���,,�;3-,,,1 t.i ;.;Zi:t_`.���1�Z�=�C%r' �I�/'�� "7-'"�-16��r�/�;c•�'�.�K-�`•'�-' <br /> r' Electrical Contractor Mail Address City State/Zips Phone State License No. <br /> _ C I ; <br /> - <br /> ContrictAIPricf 14ork tTJ <br /> Proposed Use of Buildi;;g <br /> a <br /> Project <br /> Description of Work to Be Done: [. �/1 /7 ! L � It �t .}L• �' `". Grf �_ <br /> i7 T <br /> D <br /> NOTE:WAC 296-46-1,10 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> ITEAL'1'H CARE FACILI'T'IES 13E APPROVED Bi' THE STATE OF WASHINGTON. .APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE.APPROVED PLANS BEFORE- CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NUN-DWELLINGS IS REQUIRED T'0 BI- IN METALLIC RACEWAYS (MC AND AC, AU CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THATI HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND COPREC1'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TT-IIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED IIE-REIN 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 AP,D 296.200 WAC. <br /> �.ig alure <br /> Fee <br /> Date <br /> �aGrL <br /> decapp(315/93) <br /> Maim <br /> r 8 <br /> Ad�S"000-11 <br /> � <br />