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APPLICATION FOR �L�CTRICAL P�RMIT <br /> Cf1'Y OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETt, WA 98201 <br /> 259-8810 <br /> Y�, wn��` ��n�lnn,n R�, �o,� w �„� wag� -�� - ,1�h <br /> Owner Mail Address City State!'Lip Phone <br /> �LLt1� $�1A.tb12ir1b ZA.(a1°1 A�i IN�vw�,� Il�l� olScp;.rl� �?� _�}4�� <br /> Tenant �fail pddress City State/Zip Phona <br /> t���vv IM►�c�� �f�� ?_��� 13M ���,��,-mit��,1 qt� yAnh�n�l*bllJN <br /> Elx ncal Contnctor Ma�l Addrcss City State/Zip Phone State License No. <br /> ��"""� �l "� `�"A/1aE, <br /> Contract Price of Work Proposed Use of Huilding <br /> � � (� rJD � �—�t'Tf- ln1(� <br /> Projxt Address <br /> Ducription of Work to Be Done: L2\ 'iUPei� (�IBX�I . I 2� /1�� Alr1� L�'1t��(F.1- 1 t�K'T�'�S Sit�U�G� <br /> '��Z�tw� i u-�.c �eTS v� �t;-S " mn � ��.act'' � (�� <br /> Iw(lF�NA�I.I!�I VI 11,w���IGTfn O AQ�� <br /> NOTE:WAC 296-46-140 REQUIRES TEiAT PLANS FOR ELECIRICAL WORK AT EDUCATIONAL, INSTIT[TITONAL OR <br /> HEALTH C.4RE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH ]OBS <br /> MUST SHOW Tf�STA7'E APPROVED PLANS BEFORE CfTY OF EVERET PER1vIIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEW/,YS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CER7IFY THAT I H READ AND EXAMINED TIiIS APPLICATTON AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROV 10 OF LAWS AND ORDINANCES GOVERNING 7'HIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHET R SP CIFIED HE OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GI�B AUTHORITY T VIOL 'I'E R C CE THG PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATTNG CONSTRU ON E PERF ANCE OF CONSTRUCTION. THAT i AM AUITiORIZED BY THE <br /> OWNER OF THIS PROPE TY TO FORM T W RK FOR WHICH APPLICATION IS MADE AND I COMPLY 11TTH <br /> THE STATE CONTRACI' RS LA 8.27 RCW 96.200 WAC. <br /> � <br /> X <br /> _ , s� � <br /> Fec� <br /> Signeture . D tn <br /> c/� ' l <br /> eieeepp QIS/9J) <br />