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C � <br /> APPLICATION FOR ELECTRICAL PERMIT _ <br /> CITY OF EVERETf <br /> BUILDIIJQ DMSION <br /> 3200 CEDAR STRFET' <br /> EVERETf, WA 98201 <br /> ?Sa-d810 <br /> TE BeEi�/G G�e . 3003 K/G'�.si.rlo ,Po E�Itrrl7' t�i� �I�e� Z66 ye«' <br /> �� Mail Addreu City S4te/Zip py� <br /> iwaat Mail Address <br /> City S4WZip P6ow <br /> TE �.s�'iv m, .�D 8� �p�'? EY�QiT� /O�A .t�L LL� .�fNr�� rf e.✓o <br /> Elatnal Concrutor Mul Addreaa Ciry S4te/Zip Phone S4te Lieewe No. <br /> �/3. .2�� �� �_�Y nF' /Oi.PGRii.0 T <br /> Contract Price of Work Propoaed Uae of But1"dmg <br /> ,�OG �`yJ -1/. 300.3 ►t/ C.is�✓o .t�v„�ve.vrrrT' <br /> Pro�«t Addresa <br /> Descriptioa of Work to Be Done; (�7 GC�//�OI� 4d Z/ � �jV p�/Q{I� (��� ��y <br /> R�G�PT.4CL� . 8oNR5� J� 2 ¢72 00 � <br /> �O o�IF C�� /ooq ttra'o�l7L faR RA�c. �ert� Mtir�r�./�r <br /> ASSBMisL� o�ve��� 6BMGO/C I�/�t-c�/!�/Ntr �,��� 8/s aa � <br /> NOTE:WAC 296-46-140 REQUIRgS THAT PLANS FOA ELECTRICAL WORK AT EDUCATIONAL, INS'(1N(yONAL OA <br /> FiEALTH CARE FACILITIES BE APPROVED BY T!� STp'('B OF WASHINGTON. APPL(CqIV'pg WTCE; SUCH JOBS <br /> MUST SHOW TF�STATE APPROVED PLANS BEFURE C1TY OF EVEREf PERMTf WIL,L BE ISSUED. <br /> NOTE;W[RII•(G 1N NON-DReLLINGS IS REQUIRED TO BE IN MEfALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I AEREBY CER7TFY'I'HAT I HAVE READ AND EXAMWED THIS APPLICATION AND KNOW T(�gqME TO BE TRUb <br /> AND CORREC►', ,yl.L PROVISiONS OF LAWS AND ORDW,qI�10ES GOVERNWG THIS TYPE OF WORK WII,L BE <br /> COMPLEI'ED WITH WfigTHER SPECIFIED HEREIN OR NO'C. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORI7Y TO VIOLATE UR CANCEL TFIE PROVISIONS OF ANY OTFIER STA7'E OR LOCAL LAW <br /> REGtJLATTNG CONSTRUCTInN OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM qUTHORIZED BY Tl� <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPL[CATTON IS MADE AND I COMPLY W1TH <br /> 7'HE STATE CONTkACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> �-� /�'l. - 9!.�� Q3 Fa "%�9 « <br /> Signaturc Date <br /> � �fd45 7 <br /> ��•�•vv O�s�sn <br />