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A.�PLICATION FOR �L�CTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CLDAR STREET <br /> EVERE'IT, WA 98201 <br /> 259•88f0 <br /> �C—/C� �/" "�'� �77e�6 Y�� 1�1.� ��iG//C.f'� �(,� ��� (� �7 <br /> Owuer Mail Address City Stete/Zip Phone <br /> �llu) t�7� 7 7�7 �� GCi• ��-��Uk. <br /> Tenmt M�il Address City State/Zip Phone <br /> /t�7o � ���Q �rc c�/3zQ <br /> Elxtrial Contnctor Mril Addrcss City� Svle/Zi� Phone SGte License No. <br /> �� � ��� . <br /> Conlncl Price of Work Proposed Usa of Building <br /> 77•�� �� c�i, ��� <br /> Project Addreas <br /> Description of Work ro Be Done: �Dtlf/L �L(J.Gl.C� r � /�G/ �� <br /> .�O ,�.�.�.� .�� � o�.�,u:�.. <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTfCUT10NAI.OR <br /> HEALTH CARE FACILTfIES BE APPROVED BY 'fHE STATF t�F WASHINGTON. APPLICANTS WJTH SUCH JOBS <br /> MUST SHOW THE STAT&APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL Bfi ISSUfiD. <br /> NOTH:WIRING IN NON-DWELUNaS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVfi kEAD AND HXAMINED THIS APPLICATION AND KNOW THfi SAM&TO BS TRUE <br /> AND CORRECI'. ALL PROVISIONS UF LAWS AND ORDINANCES GOVERNING THIS TYPfi OF WORK WILL HE <br /> COMPLE'i'ED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'flNa OF A PERMIT DOfiS NOT PRESUMfi <br /> TO GiVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATfi OR LOCAL LAW <br /> REGULATING CONSTRUGTION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AUTIIORIZED HY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> TT{E STATE CONTRACTORS LAW I8.27 RCW AND 296.200 WAC <br /> " �� �/-53 Fu _3�� <br /> Signelure Dale <br /> ��,�,��,�. <br /> � deeepp(J/Sl9)) <br />