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_, <br /> L� I APPLICATION FOR ELECTRICAL P�ItMI7' <br /> C17'Y OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 259-8810 <br /> *IW37 � <br /> �/�R�y � 1�n� � � .�sa � -- I�S' co.,�� M�k��Tc� G�>� 9�,� �s �s3 �1�,b3 <br /> r Owner Mul Address Ciry Statn/Zip Phone <br /> Lt �- <br /> � �� ��„ c�►� f�zT�������-r i� �� ��.� IIk� M���,�?� ��s�S'�� <br /> Tenant Mail Address� City Smte/Zip Phooe <br /> Electrial Contnctor Msil Address City SUte/Zip Phone State License No. <br /> �'iDGCC 3'r}miL� ��yjDL=7i,'CL <br /> Contnct Prica of Work Proposed Uu of Building <br /> �7�� -- �S�rkn� 17R���C �" ��� <br /> Project Addrcse ' <br /> Description of Work to Be Doae: ��1 �l�i �/�/C �/ � �.'t/� �OL '' �a'd/���, — <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU'ITONAL OR <br /> HEALTH CARE FACQ.iT[ES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW TF�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINaS IS REQUIRED TO BE IN METALI IC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERT'IFY THAT I HAVE READ AND EXAMINED THIS APPLiCATTON AND KNOW Tlifi SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEItNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITfi WHE'ff{fiR SPECIFIED HERE[N OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHOR[TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATfi OR LOCAL LAW <br /> REGULATING CONSTRUCI70N OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZ,ED BY THE <br /> OWNER OF TfiIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLiCATTON IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> � �� ��j�� <br /> X � � � �) — F� 6�1� o0 <br /> Signature ' Date <br /> ��«•vo�sro�t <br />