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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />OL <br />259-8810 <br />99 0L 25y ys`os <br />Owner Mail Address City State/Zip Phone <br />so'vtL <br />Tenant L Mail Address /`. �/ r City �+�/ \ State/Zip Phone <br />rYWi,� �'Iee-l/l '& �(2., ay 49 . I f. 11ewe/' 5 O.0 (%`� �.5)-.2 , 1�i9C49tC �s7i <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />& /ODD. DO 54�'e / �a�ee.idr�s �-- <br />Contract Price of Work Proposed Use of Building <br />�3/.26//w Sfi�ee <br />Project Address Description of Work to Be Done: X f�Af/� n 0 r/ <br />NOTE: WAC 296-46-140 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 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 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 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 AND 296.200 WAC. <br />X <br />Date <br />Fee <br />ei,capp (315/93) <br />