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APPLFCATION FOR S�',LECTRICAL PERMIT <br /> CITY OF BVERETT• � <br /> BUII.DING DMSION <br /> 3200 CED?.Fc STREET <br /> EVERETI', WA 98201 <br /> /�/� 259-88f0 <br /> </ <br /> i <br /> ��=C�' -�r'•-Ziz' C:eG/'«;�i !�%J�/ C�li'�'�T7 <br /> Owner Mail Address <br /> C�ty State/Zip Phone <br /> Teoant' . � � Mail Address <br /> City State/Zip Phone <br /> T/��'=/�./"7 �d���i .31333 ,-��.1 h%/'. 9��� ��� _2>�•/%�- TU��.E/:2-I//D.+-%f <br /> Electricaf Contractor Mail Address � City State/Zip Phone State License No. <br /> � C`'�>6C�), � <br /> �'.�crJl�f2� -�/'���s— <br /> Confraqt��c of Work Proposed Use of Building <br /> .C� <br /> �7/crl-,:%f�f�t; `'�//1�i <br /> Projec[Address - <br /> Description of Work to Be Dooe: /tiS'9/Ji_,� ,x,.�n� � ) 5/� /��.����� , / <br /> /l��:n�i,��ic�— l�oO,r`3�.r/�7 ��G ,v� <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WSTITUTTONAL OR <br /> HEALTH CARE FACII,ITIES BE ApPROVED BY TI� STATE OF WASHINGTOY. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Ti�STATE APPP,OVED PLANS BEFORE CITY OF EVERET PERIv1IT WILL BE ISSUED. , <br /> NOTE:WIRING W NON-DWELLINGS IS REQUIFcED TO BE IN METALLIC RACEWAYS (MC AND AC, AFiE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TfiE Sr.;vfE TO BE TRUE <br /> AND CORRECT. ALL PROVISiONS OF LAWS AND ORDINANCES GOV��ING THIS TYPE OF WORK WII,?, BE <br /> COMPLETED WITH WI-IETHER SPECIFIED HEREIN OR NOT. THF, GRANTWG OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATF OR LOCAL Ir1W <br /> REGULATING CONSTRUCTION OR THE PERFpRMANCE OF CONSTRUCTION. THAT I AM AVIHORIZED BX THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I C01viPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � �/% <br /> � � � - � <br /> - „i !in�/C, „ �r_-- �y'� ��i. - — <br /> _, -, ,i'_>—�- Fee ., 1 <br /> Sionature <br /> Date <br /> !�r�'�=� <br /> � ' <br /> d«�rr Orsr> <br />