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APPLICATIC`N FOR LL�CTRICAL P�RMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET T <br /> EVERETT, WA 98201 <br /> 259•8810 <br /> ��� 1� as2 - v89� <br /> .�.!o,�l 1/Aa/ �CGCt�.�/ eZ5.2� C�pict✓� A ✓� u/�t 9A�/ S 3 4 •S�iU 8 <br /> Owner Mail Address City State/Zip Phone <br /> s'R vt /f�.� /yiGo� <br /> Tenant Mail Address City State/Zip Phone <br /> 9s'.�/ 3i S� A vc S.f� ilcPkh oL zoiJ�"' <br /> /�P��� 1'-0.�.��C�1- El�C.�T G✓��I' i4tf— 9ila�oR 3,S7-3oo �. <br /> Electrical Contractor Mail Address City State/Zip Phooe State License No. <br /> ao <br /> /S'U U /�U�/S�� <br /> Contract Prica of Work Proposul Use of Building <br /> �,2 s z G l3,4K�z A e%, �:e�r�'u r%- <br /> Project Address <br /> Description o(Work to Be Pone: �/2.0 DA-�.i.tAC.-E � Pac.eJkYr �O <br /> i s-r— A P.a ..✓E c <br /> NOTF:Wf C 296-0ii-140 REQUIRES 7'HAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEAL'I'H CARL- FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATfi MPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRiNG IN NON-DWELLING'iS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBl' CERTIFY THAT i fIAVE READ AND EXAMINED THIS APPLICATTON AND KNOW THE SAME TO HE TRYJE <br /> AND CORRECC. pLL PROVISIONS OF LAWS AND ORDINANCFS GOVERNING THIS TYPE OF WO1tK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. 'I'HE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTf�ORITY TO VIOLA7'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCf10N. 'I'HAT I AM AUTHORIZEL' HY 7'HE <br /> OWNER OP 7'HIS PROPERTY TO PERFORM THE 1VORK FOR WHICH APPLICATIGN IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAC70R5 LAW 18.27 RCW AND 296.200 WAC. <br /> �'-- <br /> X � � � [� i <br /> � � J. r. "T t.r%LK c� �/� T Fee��_— <br /> SignaturC �� Datn <br /> �3���; <br /> decepp f7rl�p? <br />