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.-. <br />A.PPLICATION FOR ELECT���� ('1 <br />Ll U L.� <br />crrr or svEx�T-r. JUL 2 6 1994 <br />BUILDING DMSION <br />s2oo cEDnR sTREET ������CITY OF �EVERETT <br />E��', WA 98201 - <br />��� �� ;,�� 9 Public Works Dep`:.� ' p59-BBf� <br />�� -U7 �GG�'�5 . , �.,� i � � 2�1L /�. �u� %'Z2� >33- 720 <br />��f���L /l��ol" ' � �r/�� <br />�Owner Mail Addiess <br />\ <br />�Goc�yv�o��� 7c�i�• Fd'o�p� / <br />Tenmt' ' ' � Mail Address . . <br />City <br />City <br />7r/� ,9n..�- �i"� fvall�.�33� . �i�, �i, %�/.�sl/� <br />Electrical Contractor lviail Address ' City State/Zip <br />� /G`�. �CJ Z�>d�c1/� /.lJc <br />Contract Price of Work Proposed Use of Building <br />O`/ S � C-7��o� /J,/Jz/ <br />Address <br />Description of Work to Be Done: <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />Phone <br />7 � �Gis'J/�2-.T//v�f <br />State License No. <br />`S/� /U��CJ il�/12�L� <br />Oit/ /���1d7�—� !r/.a�!� - <br />NOTE: WAC 296-46-140 �REQUIIZES THAT PLANS FOR ELECTRICAL PlORK AT EDUCATIONAL, WSTITUITONAL OR <br />HEALTI�i C�,RE FACILTTIES BE APPROVED BY THE'STATE OF WASHINGTON. APPI,ICANTg WITg SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WIL,L BE ISSUED. . <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIItED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I�a'EREBY CERTiFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND ICNOW TI� SAME TO BE TRUE <br />AND CORRECT', ,SL,L PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WILL BE <br />COMPLETED WI'I'H WHET'HER SPECIFIED HEREIN OR NOT. THE GRANTWG OF A PERMIT DOES NOT PRFSUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAI, LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED E�Y 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 WqC. <br />� <br />Date <br />Fe D. /�U <br />�io�orr C�rsi9a) <br />