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/ <br /> APPLICATION TOR CL�CTRICAL PGRMIT <br /> cm�oF svE�-r �j�' <br /> �UILDING UIVISION <br /> 7200 CEDAR 57REET r✓E htrr <br /> EVGRE'IT,WA 98201 �� <br /> 159-8810 <br /> � i <br /> /h Lt4l�w � 17��� /_4ii�Cei� �1�t11" �i.s�:���i .;is"-' a;;�, <br /> Owoa MailAddress Ci:y SIaWZip Phone <br /> Tmmt `� M�il Addrcss City S�ate/'Lip P6aoe <br /> /` L � � <br /> i <br /> ��/%/9;t�ni 1=�',��ir .;� .('o�> �i.i� �i/cr:� l�n% -''�� ;:�f� �:'Gals<�Lr..3.e <br /> Elalnul Contoctor M�il Addrese City S�alelZip Phone Smle Licen.ve No. <br /> Conlnct Prim of Wark Pmpoud Uw oi Building <br /> i�i �l (� <br /> Ymjat Addruu <br /> Description of Work lo Bc Done: <br /> NOT[:WAC 29R+16-140 REQUIRES T11AT PLANS FOR ELECIRICAL WORIC AT EDUCATIONAL,INSTIMIONAL OR <br /> HEAI.Tfi CAFtE FACILTf1ES DE MPROVHD DY THE STATE OP WASHINGI'ON. APPUCANTS WITFi SUCH JOBS <br /> MUST SHOW THE STA7'E APPROVGD PLANS BCFORE CITY OF EVERET PEM11T WILL BE ISSUtiD. <br /> NOTE:K'IRING IN NON•DWELLINGS IS REQUIRED 70 BE IN METALLIC RACEWAYS (Mr qND AC, ARF.CAtiL[5, <br /> NOT MCEWAYS). <br /> I HGREBY CERTIFY THAT I HAVE READ AND EXAMR�GD TNIS APPUCATION AND KNOW THE SAMG TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES OOVGRNING T(i15 TYPE OF WORIC WILL BE <br /> COAIPLEPED WITF1 WHEINGR SPECIFIED HERL•IN OR NOT.TFiE GMNTING OF A PERh11T DOES NOi PAESUME <br /> TO GIVE AUTHOR77'Y TO VIOUTE OR CANCEL THE PROVI�IONS OF ANY OTHER STATE OR LOCAL IAW <br /> REGULATING CONSTRUCTION OR THE PGRFORMANCE OF CONSfRUC170N. TIIAT I AM 4UTHORIZBP f1Y TIIE <br /> OWNCR OF THIS PROPERTY TO PERFORM Tf1E WORIC FOR WHICH APPLICATIO�IS MADE AND 1 CGMPLY W1TH <br /> 7HE STAT'E CONTRAf_TORS LAW 18.27 RCW AND 296.20�WAC. <br /> X �v ( �i�i . ( �, ' <br /> y l.(u<uL! (��,i.._. .�. ��' � �'� 1 pu.j.S. C( <br /> S��nslure Ua�e <br /> d�urP 0/SN71 <br />