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APPLICATION FOR �LECTRICAL PERMIT <br /> CIT'Y OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERE'IT, WA 98201 <br /> 259-8810 <br /> �/u,�r�Pois o��i�,e�.rti PD /3a,� 83`'i N�iC�J�' C/� 9�do / <br /> Owner Ma�l Address '��'� <br /> C�ty State/ZiP Phone <br /> Y v�lf+2G/�' O� /��r!PJ 0. J��/� <br /> Tenant Meil Address . <br /> City State/ZiP Phone <br /> �/.�.f=�'�i,t <br /> /°��r�rsia.�/ �/�c�.r I.. � .Pc>� �s� 9 �ii �" cJ� 9�»3 �roi=��ro��,�.1 <br /> Elec.rical Contractor Mail Address City State/Zip Phone State License No. <br /> Contract Price of Work Pn,posed Use of Building <br /> ��(1�,2 /.Sloc�/�,� <br /> Pro�ect Address ' <br /> Descripticn of Work to Be Done: �J'f�// i� Hw G�p �¢,.a� �r�.���r fo S .yi, <br /> v � .�� G��f4 �'oi cr�,f //S[�o,/ f�i i ��J'7'� 9 s✓o --1 [bi,o� �— <br /> /— T� <br /> u-/oi.-,—_B/o' .�'/c �e/r / •�/ f � <br /> i <br /> NOTE:WAC 296-46•140 REQUIRE$ 'I'HAT PLANS FOR fiLECT,RICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF W.qSHINGTON. pPPLICANTS WI'i'H SUCH JOBS <br /> MUST SHOW THE STATE APPROVfiD PLANS BEFORE CITY OF EVL-ftET PERMI'C WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I FIEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLiCATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BL <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GR�11TI'ING OF A PERMIT DOES NOT PRESU1v1E <br /> TO GIVE AUTHORITY TO VIOLATE OP. CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'fFI <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ��O .S ��� /- 9 -9'6' F� '�E� <br /> S�gnature Date <br /> ���� <br /> elecapP(,1/5/93� <br />