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CITY OF EVERETI <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />C a\�c�oJ�Y. <br />� <br />Owner <br />Tenant <br />APPLICATION FOR �LECTRICAL PERMIT <br />�`��� <br />� v(�fi <br />Mail Address <br />Mail Address <br />�✓+2fic.D ��%�''� /� <br />Electrical Contractor Mail Address <br />� .�/. 3 7 °=- <br />Contract Price of Work <br />� ��'7 G rancl� �-iu'� <br />C��' <br />:d�, �w, �_ Jev-� { <br />—r— <br />Cit.V <br />Cit:V <br />�.c./iv 5lKl! v— <br />�Js GJ,�. <br />City Sla.e/Zip <br />s>�� <br />Proposed Use oFBuilding <br />q �av3 <br />s� ��P <br />State/Zip <br />'LS � �L <br />Phone <br />K31� I <br />259-8810 <br />a�ti- i �� <br />�Si - y�73 <br />P600e <br />Phooe <br />��z�x�/1 s�l� <br />State License No. <br />�Cc G`".Q � � C� <br />Project Address � . <br />Description of Work to Be Done: ���`t �I Zy �i G� L�/ �/ s <br />u, <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU'TTONAL OR <br />HEALTH CARE FACILITIES BE .4PPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH 70BS <br />MUST SHOW THE STA'I'E APPROVED PLANS BEFORE CITY OF EVF:3ET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METnLLiC RACEWAYS (MC ANll AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY TfiAT I HAVb READ AND EXAMINED THIS API'LICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE• <br />COMPLETED WITFi WHETHER SPECIFIED IIEREIN OR NOT. THE ciRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVfi AUTHORITY TO VIOLATE OR CANCEL THE PROVISIC�NS OF ANY OTHPR STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICF[ APPLICATION IS MADE AND I COMPLY WI7'fi <br />THE STATE CONTRACTORS LAW 18.27 RCW ArlD 296.200 WAC. <br />� J � /� <br />( `7 <br />Date <br />� vo <br />Fee�_ <br />decnpP (!/5/971 <br />