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� 2� APPLICATION FOR �LECTRICAL PERMIT <br /> � <br /> CITY OF EVERETI' <br /> BUILDING DIVISION <br /> :1200 CEDAR STREyT r <br /> EVERI'sTT, WA 98201 258-8810 <br /> lF��(J �✓���n..x� �ir S �A�;� v a��-�l/ w'1- <br /> Ownw Mnil Addrau City S4itelZip Phone <br /> �J �}.� �n✓-�D l�T�A f j/) C ��J 4 i0 lV f�t�P�� (�y <br /> Teamt Mail Addreas CLLy SwtelZip Phone <br /> ���'f ; N �9� �;SJ �L /� S'� � Sv,��J �� f W2 �5 �•��Ou �C�hL.+sci �iv�6�' <br /> &Iactrial Contnctor Mail Address City State/Zip / Phooe State Liceo�e No. <br /> _�{-Cj U � P�'MI <br /> Contnct Pri:�f Work Proposed Uae of Building <br /> � I Q" � �� S� O ��l P/� �l — <br /> Project Addrese <br /> Deecription of 11'ork lo Be Done: f%��'� !� S-�� <br /> NOTE:WAC 296-46-140 REQUIRES 1'HAT PLANS FOR fiL&CTRICAL WORK AT EDUCATIONAL. INSTTfUT70NAL OP, <br /> H6ALTH CARE FACIIIT�S BS APPROVED BY THfi STAT& OF WASHINGTON. APPLIC.ANTS WITH SUCH 70BS <br /> MUST SHOW THfi STATB APPROVED PI.ANS BBFORS CffY OP EVER&T PEEWIIT WII.L.BE ISSUBD. <br /> NOT6:WIRING IN NON-DWELLINaS IS REQUIRfiD TO Bfi W METALLIC RAC6WAY5 (MC AND AC, ARS CABIES, <br /> NOT RACfiWAYS). <br /> I HfiREBY CHRTIFY THAT I HAVB RfiAD AND EXAMINED TT{IS APPLiCAT[ON AND KNOW THS SAMB TO BS TRUfi <br /> ANA CORRECT. ALL PP.OVISIONS OF LAWS AND ORDINANCES QOVERNINO TNIS TYPB OF WORK WII.L Bfi <br /> COMPLfiTF:D W1TH WHfiTHER SPECIFIED HEREIN OR NOT. THE GRANTINa OF A PfiRM1T DOfiS NOT PR&SUMfi <br /> TO GIV& AUTHORITY TO VIOLAT& OR CANCEL THfi PROVISIONS OF ANY OTHER STATB OR LOCAL LAW <br /> REOULATINO CONSTRUCTION OR TH& PERFORMANCB OF CONSTRUC770N. THAT I AM AUTH Y THS <br /> OWNER OF THIS PROPfiRTY TO PfiRFORM THfi WORK FOR WHICH APPLICATION 1S MADB I C�PL WITH <br /> THfi STATE CONTRAGTOR W 18.27 RCW AND 296.200 WAC. �� <br /> 7 - �/ <br /> X - s <br /> t��� F��- <br /> Si�n�turo D�� <br /> �i�o�rv�nA�) <br />