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APPLICATION FOR �L�CTRICAL P�RMIT <br /> CITY OF EVERE7T <br /> BUILDiNG DIVJSION <br /> 3200 CEDAR STREET <br /> Eyg�TT. WA 98201 259•8810 <br /> }�.�/�/�r �-o ��3 !-i,�5�.�1a �SQETr G1�9 18d�T <br /> ��� Meil Address <br /> City StaWZip P6one <br /> �"" � � ' City Stele/Zip P600e <br /> Teoant Mail Address <br /> �3•BS�a <br /> �GI�G�•C+C�� 6�'�"� Z¢Z4 G St%9rT��t,19 9B/L� <br /> Electrical Contnctor Mail Address City State.'Zip Phone State Licensn No. <br /> a G ���� <br /> ���� Proposed Uae of Building <br /> Contrnct Price of Wark <br /> �-y� — � <br /> Project Address / <br /> � wn l�, � ��G�C�. QJC�� �.�i <br /> Description of Work to Be Done: �^����'"�� <br /> .4o�-s � /L�c�t,s� Fu�e�/�'r � <br /> � <br /> NOTE:WAC 296-46-140 REQUIRF.S THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> MUST HOW THE STA7'E AP R�ED PLANS BEFORE CffY OF E�'ERET ERNIIT WILL BE ISSUEDW� SUCH ]OBS <br /> NOTE:WIRING 1N NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTTFY THAT 1 HAVE READ AND EXAMINED THIS APPLiCATION AND Kh1aW THE SAME TO BE TRUE <br /> pND CORRECT. ALI. PROVISTOIVS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL HE <br /> COMPLETED WITH WFIETHER SPECIFfED NEREIN OR NOT. THE GRANT'ING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTFiORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> OWNER F THIS PROPERTY TO PERFORM THfi WORK FOR WH CH APPL] A'TION IS MADEAAND I�COMPLYYWITN <br /> THE STA'fE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X I z � Fee r�0 <br /> D e <br /> Signat re <br /> N 3�,�� <br /> dcupP(!IS/9]`. <br />