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AI'PLICATION rOR LLECI'I2ICAI, P�I2MIT <br /> u�U�O <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3?AO CEDAR STREET <br /> EVERfiI'T, WA 98201 <br /> 259-8810 <br /> l'� v�-2�1e �I�`1���.,-�o��� �27�7Ce��Cw�� �� � �� () �c;�,� �?��?-bF�� <br /> �� ,.,mi nuaress City StnWZip Phonei3 <br /> Twaol Mail Address City State/Zi <br /> P Phone <br /> .¢E 8" <br /> ��� �INc �c ll' ' (�-�l���S�S(c� �v�ttc:,�; c^�Q 2,b9 7� yZ�P, �v �e �,r'/��/� ? <br /> Elxlnal Contractor MaJ Addras Ci y Smte/Z�p Phone Sute i,icense No. <br /> � C �� <br /> ConlnU Pna of Work Ptoposed Use of Bmldmg <br /> O� 7� 7 Ci{!9 � <br /> Pro�ect pddrcsc <br /> Descriplion oF Work to Be D000: �C � C 9�C3{' Q �� �j i �i2�n7 C'f' �, '� �Ll <br /> /U L u� -`�C�C��9�u � C` �/ /Uc' � � c" �at��S��� u__ ,�� <br /> NOTE:WAC 296-46-140 REQUiRBS THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIT'UTTONAL OR <br /> HEALTN CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI7'H SUCH ]OBS <br /> MUST SHOW T'HE STATL APPROVED PLANS E3GFORE CITY OF EVERET PERMIT WILL BE 15SUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO IIE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> 1 HEREBY CER7TFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC('. ALL PROVISIONS OF LAWS AND ORDINANCES GQVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED WiTH WHETHER SPECIFIED FiEREIN OR N01'. THE GRANTWG OF A PERMIT DOES NOT PRESUMH <br /> TO GNE AU'I'HORIT'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMqNCE OF CONSTRUCTION. TFiAT I AM AU7'HORIZED 6Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICnT10N IS MADE ANll 1 COMPLY WITH <br /> THE STATE CON7RACCORS LAW 18.27 RCW AND 296.200 WAC. <br /> ` ^ /') <br /> ��Y1 � � C �C _ . . �- <br /> \ p ���.'„C} �_. .— Fee >��i <br /> J Signaturo r <br /> D:te <br /> dcc�pp(!/S/9l', <br />