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,-_ <br /> APPLTCATION FOR ELECTRICAL PERMIT <br /> CIT'1'OF EVERETI'� <br /> BUII.DING DMSION <br /> 32()0 CEDAR STREET E <br /> EVERETT, WA 98201 <br /> 2ss-ssro <br /> 5>,9.����«� -5�9/� G'�/��'r.e�xi ir//� �7/r��� <br /> Owner • Mail Address City State/Zip Phone <br /> Teuant �� � Mail Address City State/Zip • Phone <br /> ' , <br /> � �!/�id/�� / i0./�J! cl�J�� c17Gi /',�� /O ��""'��JJ 4�J-� /��c7� /G�� ��/�(Ji(/�� <br /> Electrical Contractor Mail Addras City Sta:e/Zi� Slate License No <br /> � .�c`lJ, � �z�.u'� �./�O•vi y��o,uy �i,�.�,J���_ . <br /> Contract Price of Work Proposed Use of Building �a-7�j� � <br /> �9�� G�/�`�'"•P�-���� �.�9-Y _ <br /> Project Address � <br /> Description of Work to Be Doue: /(117.CJ.t1 �.GLs-�( � � �.� �i���'���.�'t-� <br /> /.GLL%J7/�.f�yb7y z�/ �°� L�'/�S L'�/�/ !�fL7GKTc/O/C� L✓/��� � <br /> � <br /> 7j1/v� � �i� /�L.C-.%%l>/.�.D-1rYa� �%�%d3J/r� �� <br /> NOTE:WAC 296-46-140�REQUIItES TfiAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU'ITONAL OR <br /> HEALTH CARE FACIL,TITES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW TFTE STAT'E APPROVED PLANS BEFORE CiTY OF EVERET PERIvIIT WII.L BE ISSUEA. • <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC R4CEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTTFY THAT I iiAVE READ AND EXAMINED THIS APPLICATION ArvD KNOW THE S.41vfE TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLETED W1TH WFiETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL TFiE PROVISIONS OF ANY OTHER STATE OH LOCAL LAW <br /> REGULATING CONSTRUC'I'ION OR THE PFRFORMANCE OF CONSTRI)CI'ION. THAT I AM AUTFIOi2IZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAAE AND I C:OMPLY W1TH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> , � <br /> � � �� V/ <br /> �'� ,�,�-- , , F�:s�- <br /> � 5ignature Date <br /> , I ,�q� <br /> u � �t«orr�i5iv <br />