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CITY OF EVB[t£7'I' <br />BUILDING J�IVISION <br />3200 CEDAR STkEET <br />E��TT, WA 98201 <br />i�✓�a!�r,n vz� �� � <br />Owne• <br />�s �,�� <br />Tenarit <br />�J7i7 Ai� <br />APPLICATION FO1R EL,ECTRICAL <br />.�i;� a�ii �o, ,Q19r�r� <br />Mail qddress <br />Meil Address <br />�� <br />{21r%GC kJ, <br />y'�ZZs <br />��� <br />City <br />�J������lf� <br />C/ ^ <br />1�T...JL,L 2g 199q D <br />.� � r OF <br />Publi� W, <br />7�� �7� zss-ssro <br />��2�Tr. �oA� A�' <br />State/Zip <br />� <br />Phone <br />Phooe <br />' _�— i� /oio! 7�T0/'�T/'i11� ci7Z1.t/ <br />Electrical Contractor Mail Address ity 5tate/Zi Phone aa <br />P State Liceose No. <br />�!a.6ao.�o us BA�I�c <br />Contract Pnce of Work Proposed Use of Bmldmg <br />►b�s .5�. Edtie�;�r ,��4c.c. t,�A� <br />Pro�ect Address <br />Description uf Work to Be Done: <br />�4��P ,S ��2 �i.�e <br />NOTE: WAC 296-46-140 ItEQUIRES THAT PLANS FOR ELECTRICAI. WORK AT EDUCATIONAL, INSTITUTTONAL OR <br />HL•ALTH CAkE 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 W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAYE READ AND EXAMINED THIS APPLICATiON AND I{MOW THE SAME TO Bb TRUE <br />AND CORRECT', ALL PROVISIONS �JF LAW� AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED W�'H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES N01' PR.ESUME <br />TO GNE AUTHORYTY TO VIOLATE OR CANCEL THE PROVISIONS OF' ANY OTHER STATE OR LOCpL LAW <br />REGULATTNG CONSTRUCTION OR THE PEItFORMANCE OF CONSTRUGTIOTi. THAT I AM AUTHORIZEII i3Y 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 AI�ID 296.200 WAC. <br />�yoq3 <br />n . <br />►� <br />�e <br />✓ <br />F� 193. ao <br />. doonrr i3ls�o)1 <br />o.� <br />