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APPLICATION FOR ELECTRICAL PERMIT <br /> CIT']' OF EVERETI' <br /> BUILDING DMSION <br /> 3200 CEDAR STREE'I' <br /> EVERE7T, WA 98201 <br /> 259-8810 <br /> �G� � I a� ^� I /�_ <br /> YfOMinn�. �'ilhr97 ((�- �o'1C11 3'S9 "/323 <br /> O�t'nu Ma�l A�i�i � <br /> Gty State/Z�p Phoue <br /> �l�k`�<r�' � Q �'o�cy fF�}ornr.�, s af' �Aw <br /> Tenant at ddress <br /> C�ty Smte/Zip P6one <br /> �„� ����' ��cC.�r`� �O'3o,c �fo8. {�r�' �o.t IJA 9Raa3 �'1 9040 1� JSSE /5B $f� <br /> Elatnul Contractor Ma�l Address C� State/Zip Phone <br /> State Licwse No. <br /> ���cc <br /> Contnct Price of Work Proposed Use of Bmldmg <br /> �aa3 �f O�W <br /> Projxt Address <br /> Description of Work to Be Done: _ ��D /a yV�(� �i� i' •r C�n�t <br /> V '—' <br /> NOTE;WpC 296-46-140 REQLiIREg '['HAT PLANS FOR ELECfRICAL WORK pT EDUCA7'IONAL, INSTlTU'ITONAL OR <br /> HEALTH CNRE FACILITIES BE APPROVED BY THE STA7E OF WASHINGTON. APPLICANTS WITfi SUCH JOBS <br /> MiJST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERtvIIT WILL BE ISSUED. <br /> NOTE:WIWNG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACfiWAYS). <br /> I HEREBy CERTTFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANU Kt•(OW T'HE SAME TO BE TRUE <br /> AND CORREC(', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYpE OF WORK WILL BE <br /> COMPLETED WITH WAETHER SPECIFIED HfiREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORIT'y TO VIOLATE OR CANCEL TH6 PROVISIONS OF ANY OTHER STATE OR LOCAL LqW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT i AM AU?HORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � �� (— P/-9�- Fee- 3� <br /> �nature Date <br /> �3� �� <br /> dearr C��5�9J) <br />