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CITY OF EVERL'IT <br />�UILDING DIVISION <br />3200 CGDAR STREET <br />EVEREfT, WA 98201 <br />Poll< 8�;�(�erS <br />O�wer <br />Tenant <br />APPLICATION TOR CL�CTRICAL PLR1�lIT <br />13`�of <br />Mail Addrc.ss <br />Mail AdJreu <br />Electnyal CoNnctor Mail Addrus <br />r� �U <br />Contncl rice o( Wark <br />�,�,il(;� �•k <br />City StaldZip <br />,t�ie� SF� <br />Proposed Uu of Duilding <br />3 <br />Ha'LI �� <br />� <br />259•8870 <br />P6one <br />Phon< <br />Stale limise No. <br />�� L ,rr� � ''� � <br />Fmjzt ddress . <br />Descnption of Work to Be Done: e`� ���5 !'1' S G/� �lr rf/"� F-<<Z�'/� <br />NOTE: WAC 296-0fi-(40 RF.QUIRES THP.T PLANS FOR ELF.CPRICAL WORK AT EDUCATIONAL, INSTIM70NAL UR <br />HEALTIi CARE FACILRIES �E MPROVED 1JY T7iE S'1'ATE OF WASHINGTON. APPLICANTS WI'CH SUCH JOBS <br />MUST SHOW THE STA7'E APPROVED PLANS BEFORL C17Y OF EVERET PEPMR WILL P.E ISSUED. <br />NOTE: WIRING IN NON-DWELUMGS IS REQUIREU TO bE IN MEI'ALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACGWAYS). <br />1 HEREBY CERTIFY THAT I HAVE READ ANp EXAMINLU THIS AYPLICATION AND KNOW THE SM1E TO ➢E 1RUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL ➢E <br />COMPLETED W(TF{ WHEI'HER SPECIFIED HEREIN OR NOT. THE GRA�TING OF A PERAfIT DOL•S NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLA'1'E (7R CANCEL THE PROVISIONS OF ANY OTHER STATG OR LOCAL LAW <br />REGULATING CONSTTtUCI'ION OR TFIE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY TI{E <br />OWNER OF THIS PROPERTY TO PORFORM THE WORK FOR WHICN APPLICATION IS �1ADE AND 1 COMPLY WITH <br />TfiE STATe COMRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />SignaNre <br />Dale <br />c� p0 <br />Fee� <br />d<a�pP (JISN]) <br />