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-� <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> C1TY OF EVERETT <br /> BUII.DING DMSION <br /> 3200 CEDAR S17tEET <br /> EVEREIT.WA 98?A1 � �� 259-8810 <br /> �1'n <br /> 1��� � / <br /> �°�Y1U�l�n� � /.�/S�- ��.�'e„r� �wo�� (.�-.<� C�i��3 �5�-��OC <br /> Uwer ' Mail Addras City State/Zip P6one <br /> Tmaot Mail Address Ciry Stata/Zip Phoue <br /> Electrical Cantractor Mail Addr�s City State/Zip Phone State Licrose No. <br /> 'Cootract Prix of Woric Pmposed Use of Building <br /> �`3/� [Ja0/J�nM �� �1Pi10Y��). ���,C41 YH7f�' - . . <br /> PfO,JOCt AA�fEBS � . <br /> DGbCI1�L10G Of WOf�C fQ BE DOGO: <br /> .�,p� �,� - ZGO� <br /> NOTE:WAC 296�6-140 REQUIItES THAT PLANS FOR ELEC1'RICAL WORK AT EDUCATIONAL, INSTTI'fTiTONAI.OR <br /> HEAL1'H CARE FACIIITIFS BE APPI�,OVED BY TFIE STATE OF WASHFNGTON. APPLICANTS WITH SUCFI JOBS <br /> MUST SHOW Tf�STATE AFPROVED PLPiNS BEFORE CTfY OF bVERET PERIuIIT WII.L B&ISSUED. <br /> NOTE:WIIt1NG W NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOTRACEWAYS). � <br /> I FIEREBY CERTII7Y THAT I HAVE READ AND EXAMINED 3'HIS APPLiCATION AND KNOW T.:SAM&TO Bfi TRUE <br /> AND CORREC?. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPS OF WORK WILL BE <br /> COMPLEfED WffH�R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORTIY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHFR STAT& OR LOCAL LAW <br /> REGULATIIdG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZfiD BY Tf� <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLiCATION IS MADE AND I COMPLY WITH <br /> Tf�STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> A��.�/.�� /� r� /Qt t ) �'�l n C�A7 /7, /-�f��� Fx ��o <br /> Signaturo � Date <br /> elm�pp(JISN�) . <br /> � <br /> —� <br />