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�� <br /> APPLICATION FOR �L�CTRICAL PERMIT <br /> �rU7� I <br /> CITY OF EVERETT <br /> HUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-88f0 <br /> o„�����-����� s-..�� ���sf �� Gr�o► 9rP��/ �/y .�i,.� <br /> Mail Addrcss C�ty State/ZiP Phone <br /> �'�.,._v <br /> � TEO°�� Meil Address . Ciry State/Zip Phoae <br /> .��,�`�n,� .1i�,�,f' �'7�%� �.c` � v�k �0�02 lh✓yE,P r <br /> Elxtrica �ntractor Mai! Address C�ty State/Z�p Phone <br /> State Licease No. <br /> �/��Q /37i`13 <br /> �i,t>>sl` S.� <br /> Contract P ' o Work Proposed Use of Bwlding <br /> Z%�!/►� <br /> Project Address <br /> Description of Work to Be Done; __ /� �/y)Q �,�,�� �1��� ��� <br /> ,—��__y <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAI„ INSTITUI'(ONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW THE STATE ApPROVED PLANS BEFORE CITY OF EVERET PERivIIT WILL BE ISSUED. <br /> NOTE:WIR(NG 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 CORRfiCT, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLE'I'ED WITH WH�'THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRES[JIvIE <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATING CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCITON. THAT I AM AUT'HORIZED BY THfi <br /> OWNER OF THIS PROPERTY'f0 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 /> X � <br /> � <br /> n - <br /> Signatu Fce JU <br /> Date � <br /> /� <br /> elecepp(,1/S/93) <br />