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� _ . <br /> , <br /> � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETI' <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EyBRE1'I',WA 98201 15�J-8810 <br /> L=�O�g � � C�t . State/Z�p Phone <br /> p�� Mail Address y <br /> Teoant � <br /> � ^ ' M�ddress City SlatdZip Phone <br /> . <br /> � � <br /> latrical trocWr Mail Address City StatelZip P6oue 54te Liceose No. <br /> ��9 ,�gy, �° <br /> Canhact rice of Work Propoud Use of Building <br /> �,C-�j� 1�U �' r�s�'v� r� <br /> .--�— <br /> Project Addrese , - /�t J/�� <br /> Description of Work to Be Dona� �'/ <br /> t e ,�vt 90-33 r <br /> ��►DY/�...r/�GI�✓N /CL' !1 / /�L"��(�J.a�i.t/ �.(/r 7� � /1--/� <br /> / <br /> NOTE:WAC 296-46-140 RSQUIRES THAT PLANY F,� A.� FO W SHINGTON UAPP C� �U HAlOBS <br /> HEpLTH CARE FACILTC�S BE APPROVED <br /> MUSf SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILT-HE ISSUED. <br /> Np'('6:WIRING IN NON-DWELLII'1GS IS FtEQUIREI�'f0 BE IIJ METALI-1C RACEWAYS (MC AND AC, ARE CABLFS, <br /> NOT RACEWAYS). <br /> I HEREBY CERTiFY TH.4T I HAVE READ AND EXAMINED THIS APPLiCAT'fON AND KA��W T�SAME TO BE TRUE <br /> qp(D CpRRECi', pLL PROVISIONS OF LAWS AND ORDINANCES GOVE[WINC, TIIIS TYPS OF WORK WiI-I- BE <br /> COMPLETED WITH H�i�TfiER SPECIFIED HERfiII'1 OR NOT. THE GRANTING OF A PERMPI' DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT6 OR LOCAL LAW <br /> OWNER OF THIS PROPERTYOTO PERFORM 'IHE WORKCFOR WH CH PLICATION S M�AN�oCOMPLY W17'H <br /> '('�$7'ATE CONTRAC'1'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> g �`O� ' p� Fee�3.�_ <br /> Date <br /> Signature . <br /> 'I/��� dccaPP(J8197) � <br /> I <br />