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APPLICATION FOR �LECTRICAL PEItMIT <br /> CIT'1' OF EVERE7T <br /> BiJILDING DTVISION <br /> 3200 CEDAR STREET <br /> EVERETT.WA 98201 259•881Q <br /> �•,n�,��o�1LJEALtH 1 so� dn�� AVF l,��vul.�cb� l,JlA 9�� ? �+a- <br /> � Mail Address C�ty Stete/Zip Phone <br /> Owner <br /> --�---- Ciry Slate/Zip Phoae <br /> Tenenl Mail Address <br /> oKe — „� -a . — <br /> Eleclrical Contra or Mail Address City Slate/Zip Phooe State License No. <br /> � na <br /> y�Zlr/ � n — <br /> Contract Price oF Work Proposed Use of Building <br /> �, i � �J � l��y 1�ll <br /> Project Address <br /> Descriptian of Work to Be Done: <br /> i70TE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELEC7'RICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> MUST HOW HE STATE�ROVF.D PLANS BEPORE CIT OF EVERET PERMIT WILLPBE IS8U D�H SUCH ]OBS <br /> NOTE:WfRING IN NON-D�'�ELLiNGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br /> NOT RACEWAYS). <br /> 1 HEREBY CERTIFY THAT T HAVE READ AND EXAMINED THIS APPLiCATION AND KNOW THE SAME TO BE TRUE <br /> COMPLEi'ED WITH WHETHER 3PECIFIEDAH6REIND�R NOTATHE GRANTINGIN F A PERM T DOES NORT PRESUhSE <br /> REGULATING CONSTRUCTION OR THE PERFORAfANCE OF CON TRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH1CH APPLICATION !S MADE AND I COMPLY WITH <br /> 7'HE STATE CONTRACTORS LAw 18.27 RCW AND 296.200 WAC• <br /> X /� �� ���� Fee /�.__ <br /> //�0���21/�a ��� ��v� Da�e'/1� <br /> Signeture (�' <br /> ����1 U oi«err�isr� <br />