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APPLICATION FOR �L�CTRICAL P�RMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 96201 259-B8f0 <br /> W"ri � <br /> f�E7J �CiQ.� 1792 d' y�'�— l�✓e� /�J•f q�/�i7a�l (Np• �1��.23 �fL�� <br /> p��T Mail Address City Sute/Zip P6oue <br /> ,bzv�C/dr�� <br /> ��� Meil Addreas Ciry S1ate/Zip Phone <br /> ,F2',r,t- �l=/�r.l,� �v7a� �'nzo/le., 7c,�u; �l�v N�,IRr3�,�/� - G�s-G � 3 f' <br /> Electric�l ConMctor M�il AJdrcss �ry Shte/Zip Pho e �i�TELL /�Z89 <br /> ''� a✓oo00 �l�l� �/ori,� <br /> Conlrect Price of Work Proposed Use of Huilding <br /> 7���' �'�►SC�1D�Ci 3'J'• <br /> Project Addrese � <br /> Description of Work ro Be Done: �SM �//GG ��0� '%1 /���C — "'/t't <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECYRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> HEALTH CARE FACILITIES B& APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STAT&APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL Bfi ISSUED. <br /> NOTE:WIRIN6 IN NON-DWEL1-[b1G5 IS RLQUIRED TO AE IN METALLIC RACBWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY TEiAT I HAY&READ AND EXAMINED THIS APFLICATION AND KNOW THfi 5AME TO BE TRUE <br /> pND CORRECf. ALL PROVISiONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WTLL BE <br /> COMPLETED WITH WIIETEiER SPECIFIED HEREfN OR NOT. THE GRANTING OF A PERMIT DOES NOY PRESUM& <br /> TO GIVE AU'CHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT6 OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED SY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THfi STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> �/��Z� � 7 <br /> X �a- Fu �5 <br /> � Signaluro Date <br /> ��«•rr o�sro» <br /> L <br />