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APPLICATION FOR ELECTRICAL PERMIT <br />� <br />CITy OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />E��TT, WA 98201 <br />95Q.RRYl1 <br />. o.. rauwwa <br />�a57 nr� ��^,'=r`�— <br />Tenant <br />7y�7 Gf�/ZCR'rL`l✓ <br />il Address <br />��3�, i � � / � �„ <br />Electrical Contrector Mail Address <br />YP � I ��/. D <br />Contract Price of Work <br />Project Address <br />u�Y State/Zip <br />GJAy ��,��rT �,j� � <br />City State/Zip <br />= VV 9��i9 �f�i3�9�: <br />City State/Zip Phone <br />�iS�r R c-. n i1N� <br />Proposed Use of Building <br />Phone <br />z a� <br />Phone <br />uc� "� <br />��!/c�t/�So99iZ <br />State License No. <br />Description of Work to Be Done• I� �i�(�Ln� -�– �_ �� /.}L/k ZM ��-oW 1�oLTA GL � <br />NOTE: WAC 296-46-140 REQUIRES TH/iT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WSTITUTIONAL OR <br />HEALTA CARE FACILTTIES BE APPROVED BY THE' STATE OF WASHINGTON. APPLICANTS WiTH SUCH JOBS <br />MUST SHOW THE STATE ARPROVED PLANS BEFORE CITY OF EVEItET PERMIT WII:L 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 Tf3AT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TFIL SAME TO BE TRUE <br />AND CORRECT. ALI, PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T1'PE OF WORK WII,L BE <br />COMPLETED WITH WHBTHER SPECIFIED HEREIN OR NOT. THL GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AN1' OTHER STATE UR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHGRIZED BY TF� <br />OWNER OF THIS PROPERTY TO PERFORM TF� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />� <br />Signature <br />Date <br />Fee ��/%. 75 <br />clecapp (3/5l97) <br />