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L�� � <br /> � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERET►' <br /> BUILDING DIVISiON <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 9820I <br /> / 7 02.� �/..3���P cQ, ��. G�'ri-Gk4�7 <br /> Owner Mail Address <br /> CitY Slat ip Phone <br /> T0"°°� M�il Addmes <br /> City State/Zip Phone <br /> Elxtrical Contrutor y � � �" �C <br /> Mail Address City State/Zip Phone <br /> � Stale License No. <br /> e�is�.� � ,Fbf•t7 L/s16�j <br /> Conlnct I�nce f Work Proposa! Use of Building <br /> ..�7�� � d�� !J• �,�,�,,�t. <br /> rm�eCl AUtlfESe � <br /> Description of Work to Be Done: _ J / ii����� _ /�� <br /> / / <br /> NOTE;WqC 296-46-�40 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTTTU770NAL OR <br /> HEALTH CA1tE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. ApPLICANTS WITy SUCH IOBS <br /> MUST SHOW TyE STATE APPROVED PLANS BEFORE CITY OF 6VERET pERMIT W1LL BE ISSUED. <br /> NOTE:W/RING 1N NON-DWELLINGS IS REQUIRED TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TyE SAMG TO BE TRUB <br /> AND CORRECT. ALL PROV►SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYpE OF WORK W(L[ gg <br /> COMPLETED WITH WHETHER SPECIFICD HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM& <br /> TO GIVE AUTHORITY TO VIOLA7'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCT(ON OR THE PERFORMANCE OF CONSTRUCf10N. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH1CH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW t8.27 RCW AND 296.200 WAC. <br /> X � J ���� <br /> Signalnro Fce ��a <br /> Dale <br /> —5����� �i«.rr�sro�i <br />