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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVEkETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> C'�Qr�uP +�c�-H- SZI 1,�4u 5�- s�rtz� u1A- q8121 448-Z42q <br /> Owner Mail Address City State/Zip Phone <br /> i <br /> t Mail Address . City State/Zip Phone <br /> DW4E� Lt�.i�L ?jf3�� �31� A�JE. �F. su�s� R f..�oon�Itt� WA Dwv�_F.x ��i+►3 <br /> Electrical Contnctor Mail Address Ciry StatelZip Phoneq8S313� State License No. <br /> —1� OSSDoo.00 /Y�,�,��.P ���. � <br /> Contract Price o Work Proposed Use of Building <br /> 24.3o mAPtF srQE�- E,�e�c-r- rrA. <br /> Project Address I <br /> Ducription of Work to Be Dona Tf�+ ��'ll. N� �E�/G/�L. S ySTLr7/)S <br /> �2 TN2r1►�6 � �►'IEDI C /nJ/ ST�liU7aPF <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACII.TTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PER1vfIT 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 THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC:. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED W1TH WHETHL•R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NUT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 1'HAT I AM AUTHORIZED BY THE <br /> OWNER OF TAIS 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 /> " ��. 1��t�� � �>� F �� °° <br /> . <br /> Si atur Date <br /> � <br /> y�� �l� <br /> elecapp(!/S/9J) <br />