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i l <br /> APPLICATION TOR�L�CTRICAL PERNIIT <br /> CITY OF EVERETT � <br /> BUILDMG DMSION <br /> 3200 CEDAR 57REEI' <br /> 6VERETT,WA 98201 <br /> 259•88f0 <br /> l� �`,��,s���, �G�66s Po,6�X2iazG &� u�u 9sa� l�.,�_ c�zs <br /> Ouver Mail Address City . StatelZip phoue <br /> �I�i'oc�e� �l�o%"�- l y E.C'usrno �c( �A-1 Ewwx(• Lt/, 9b ck�' 3�3-�F�fi9 <br /> Tenanl - Mail Address . � . City State/Zip � phoue <br /> �a���« �Q�ud;olyus.��,a� P.o.ge�c 2S35s �� 4Ja 98/ZS Q 55yy �C/FAC iiyky <br /> Electric1alContactor MailAddrcss City Stah/'Lip Phouc SGteLicenuNo. <br /> Y ZSoo " �,�s� �5 a��zre <br /> Contract Priw of Wark Proposed Use of Building <br /> S�12o �,��.�. w� i�du B � G�-�v. <br /> Yroject A— dd�—� . <br /> Dcscriplion of Work lo He Done: �(A.o-!.G d"_-YInX.fV("6,... �,yyc,t..ti ' <br /> NOTL:WAC 296-46-140 REQUIRES THAT PLANS:GR ELECCRICAL WORK AT EDUCATIONAL, INSIITUI70NAL OR <br /> HEAL7H CARE FACILTiIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCHfOBS <br /> MUST SHOW 1'F�STATE APPRO\'ED PLANS BEFORE CII'Y OF EVEREf PERMIT WILL BE ISSUED. <br /> NOTE:WIRiNG IN NON-DWELLINGS IS REQUIRED TO BE W METALIIC RACEWAYS(MC AND AC,ARh CAHLES, <br /> NOT RACEN'AYS). <br /> i HERLDY CERTIFY THAT I HAVE READ AND EXAMWED THIS APPllCATTON AND KNOW THE SAME 7'O BE 7RUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7NIS 7'YPE OF WORK WQ,L BE <br /> COMPLGfED W1TH WHETY.EA SPECIFIED HEREIN OR NOT.TI-IE GRANTING OF A PERMTT DOES N07'PRESUME <br /> TO GNE AUTTdORI]'Y TO VIOLA7'E OR CANCEL 'CHE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRU(.TION OR THE PERFORMANCL OF CONSTRUCI70N. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'I7d <br /> THE STATE CONTRACI'ORS LAW I8.27 RCW AND 296.200 WAC, <br /> X �� �Y��� 7-201I F� <br /> Signeture , Dale <br /> �,�,S�a� ��� �l <br /> a«�rv aisro�t <br />