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�� - <br /> �� AI'YLICAI'ION I�'OR L'L�CTRICAL P�RMIT <br /> CITY OF EVERETC <br /> DUILDING DIVISION <br /> 3200 CEDAR STREET � <br /> EVE[tETT, WA 98201 <br /> 259•8810 <br /> � [� \`�D �' <br /> Owoer Meil Address City Slate/Zip Phone <br /> _�r�,�..�c.r <br /> Twant . " Mail Address . Ci�y Smle/Zip Phone <br /> 7�,°37�3 <br /> �C�.,�,,�( ,- In;tct�L �'�q MA�,,� �c1.., , , �l.�n�l-� Cw� �r �—�5'�3Rc <br /> Eleetri�jcal Conlrector Mail Addresa City State/ ip Pbonn Slale Ucwae No. <br /> �f—s�'�"/ / ' ���.1�C1 � \;�„fl n n, S I <br /> Conlract Fnce of Work Proposed Use of Building <br /> � .,.� �C�►O.IIL <br /> Projxt Addreaa . <br /> Ducriplion of Work lo Be Done: `[.��� � ri W � 0. �� U � ►� l��.l7�Y i �/O���i <br /> NOTE:WAC 296-46-140 RGQUIRES TI{AT PLANS FOR ELECfRICAL WORK AT EDUCATIONAI., INSTI7'UTIONAL OR <br /> HfiAL7H CAR6 FACILITIES BH MPROVED ^Y THE STA'['fi OF WASHINGTON. APPLICANTS W1Tfi SUCH JOBS <br /> MUST SHOW THE STAT6 MPROVL•D PLANS BEfORL• GTY OF EVERET PERNIIT WILL Bfi ISSUED. <br /> NOTE:WiRING IN NON-DWELLLVGS IS REQUIRED TO OE IN METALUC RACHWAYS fMC M!D v1C, AR& CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY TFiAT 1 HAVE READ ANb EXAMINED TNIS APPLICATION AND KNOW THG SAMfi TO BE TRUE <br /> AND CORRECC ALL PROVISIONS O� LAWS AND ORDINANCES GOVERNING THIS TYP& OF WORK WILL BE <br /> COMPLETED WITH WHETf1ER SFECIr1ED HEREIN OR NOT. TIiE GRANTINO OF A PERM[T DOES NOi'PRESUML <br /> YO GIVE AU'fHORITY TO V10LATE OR CANCEL TlIB PROVISIONS OF ANY OTHER STA'f& OR LOCAL LAW <br /> REOULATING CONSTRUGTION OR 7'lIL PERFORMANCE OF CONSTRUC!'ION. THAT I AM AUTHORIZED BY THE <br /> OWNER Or TIUS PROPERTY TO FERPORM THC• WORK PUR�VlIICH AI'PLICATION IS MADE AND I COMPLY WITH <br /> 77iE STATE CONTRACTORS LAW 18.27 RCW AND 29G.200 WAC. <br /> X � , <br /> �'' �- U; Pec � 7lO <br /> � <br /> gnn W ro nle <br /> N��r� I d�o.�r 0�3j0' <br />