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('ITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />gVERE'IT, WA 98201 <br />Owner <br />Tenant <br />« <br />A.PPLICATiON FOR �L�CTRICAL PERMIT <br />Mail Address <br />pddress • <br />Ciry <br />City <br />State/7,ip <br />State/Zip <br />259-8810 <br />Phone <br />Phone <br />� E2t�M lV`EDN IIUC Po.6�►� 526g L�ivN�oov �✓A Y80y� 17b•�X� li�iw,N�oxs<3 <br />Electrical Contractor Mail Address City State/Zip Phone State L�cense No <br />�36 yS °�, �e ,A ��N�ir- — <br />Contract Drice of Work Proposed Use of Building <br />1�� E��r� �y . <br />Project Address % <br />Description of Work to Be Done: <br />��SRI � /IJSI'��- liZ� S/NGLE /�YGE /LLlI.G1INM� <br />/GN � <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL VJORK AT EDUCATIONAL, INSTITUTIONAL OR <br />bNST HOW THE STATE AP RO D PLANS BEFCRE CITY O EVERE PERIvIIT WII-L BE I�v, H SUCH JOBS <br />NOTE: WIP.II�G I11 NON-DV✓EL1-INGS IS REQiJIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RA�=EWAYS). <br />1?iEREBl' CERTIFY THAT J HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TI-� SAME TO BE TRU� <br />pND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETEC WITH �I-IF1'HER SPECIFIED HEREIN OR NOT. THE GRANI'ING OF A PERMIT DOES NOT PRESUME <br />TO C-IVE AUTH�RIT1' TO VIOLATE OR CANCEL TAE IROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />OWNE�OF T:II3 PROPER`TY TO PERFORM THEWORKCFORFWFiICH APPLIC� TION IS M� AND I�COMPLY Wi'Tii <br />T'f� STATE CONTRACfORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />� <br />Signature <br />Fec - � r� <br />U'���� clecepp(lI519�) <br />