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APPLICATION FOR �L�CTRICAL P�RMIT <br /> CCfY OF EVERETT <br /> BUILDTNG DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT.WA 98201 259•8810 <br /> 9 6"eJ 7 95`/- s9Sy <br /> 1 L / 5 no 4 `lu y' v c`�`� Phone <br /> Owner I sil Address City Stete/Zip <br /> (i 'LJ�� � CiAd � � � (/� � <br /> City State/Zip Phone <br /> Tenant Meil Address .'���, ly( `j�,;17a <br /> awtKSEA�3t� <br /> k S ��►C f� <br /> �Ar•� y U 7 ��Ar2 N � 6 .33-GG47 <br /> Elxtrical Contractor Mail Address City Sta�e/Zip Phone S1ate Licensa No. <br /> '�' ��.Q,+3i — <br /> y�'� ,/ Proposed Usc of Building <br /> Contract Price of Work <br /> (a �.].D A e��,� P,� ��,�e yf ta�E <br /> Project Address � , <br /> ..� <br /> Dacription o(Work to Be Done: <br /> NOTE:WAC 296-46-140 REQUIRSS THAT PLANS FOR ELbCfR1CA1-WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> MUS HOW THE STA'I'E�RO ED PLANS BEFORE CI7'OF EVERET PERMIT WI�PBE IS UED�TH SUCH JOBS <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTTFY THA'C I HAVE READ AND EXAMINED THIS APPLICATTON AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPL OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HERE[N OR NOT. THE GRANTING OF A PERMIT DOES N07' PRESUME <br /> TO GNE AUTHORITY TO VIOLA'I'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULA77�7G CONSTRUCTfON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TG PERFORM THE WORK FOR WHICH APPLICATION IS MADE �D I COMPLY WITH <br /> TIiE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC• � <br /> �J`, <br /> x 2/i�/y y r��- <br /> ��/�/.�.C-^=— o�r <br /> Signeturo <br /> elecapp(!/5�9' <br />