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/ �� <br /> � APPLICATION FOR �LECTRICAL PERMIT <br /> CIT'1'OF EVERETT <br /> HUILDING DIVISION <br /> 3200 CEDAR STRE&T <br /> EVERETT, WA 98201 <br /> 159•8810 <br /> QDe�`�-.� � 7S.S /�1.�.�..�,..� l.�Ja�. .s' SeKf/L. �l� Q3/�.�( .'i 7 9Y9'd <br /> Owner Mul Address � City Slate/Zip Phone <br /> /�OL�/ <br /> T��� Mail Addreas City Slate/Zip Phone <br /> I ��Y- 67fr0 <br /> futr9�aa.-, 6/�f�:e.�.L �e�f�nc�.� �11�sl�te,E:o� ,t 1�i1/le wl� Eu s.6e1o,7sR <br /> Elatrical Contnctor Mail Address City Shte/Zip Phone Stale 'ceaae No. <br /> �2300.� <br /> Contnct Price of Work Proposed Use of Huilding <br /> 3003 W Cts��+o /toq�( ('ay4 E _ ,('7 <br /> Project Address <br /> Description of Work to Be Dona: �:M s{�/� L O w VD�{�.� (���( � � <br /> - -- .e ti.e <br /> QvL � J � I�wtP � zUf/ �KSe� �I�SCOnnsaf <br /> NOTE:WAC 296-46-140 REQUIRF,S THpT PLANS FOR ELECTAICAL WORK AT EDUCATTONAT, INSTIT'U170NAL OR <br /> H&ALTH CARE FACILITIES BE APPROVED HY TH& STATE OF WASHINGTON. APPLiCAPl7'S W1TH SUCH JOBS <br /> MUST SNOW THE STAT&APPROVED PLANS BEFORE CI7'Y OF?VERET PERIvtIT WILL BE ISSUfiD. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRfiD TO B& IN METALLIC RACEWAYS (MC AND AC, ARfi CAHLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY 7'HAT I HAVfi READ AND EXAMINED THIS APPLICATTON AND KNOW TF[fi SAM&TO Bfi TRUfi <br /> AND CORRECT, ALL PROVISIONS OF LAWS AND ORUINANCES GOVERNING THIS TYPfi OF WORK WILL BE <br /> COMPLETED WITfi WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUMfi <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGllLATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THfi WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH <br /> THE STAT6 CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X — <br /> S'�1�—a3 -- Fa lD�+.S� <br /> Sig t e Date <br /> �� � 31 <br /> �i«err�isro» <br />