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; <br /> �} ' . <br /> ;;.-,. <br /> ,., <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> � - <br /> CITy OF EVERETT <br /> BUILDING DMSION � <br /> 3?AO CEDAR STREbT <br /> EVERE7T, WA 96201 <br /> 259-8810 <br /> �oelY�r„ �C�o3 � Cc�si ��o� �Eve�etl wb4 �18�?C� <br /> own« .'.:.,, .,��rrss <br /> V C�ry State/ZiP Phone <br /> Tw�nt M�il Address . Ciry SmWZiP Phoue <br /> ^ ,j� VF't41ti j'�' <br /> _L'�.,•�� ,_ Ele -l�cr ��c F�(,,,,.. 4 �.�.� � 9o2c 7753773- <br /> Elect t r �L � 'Ma�l Addrcss <br /> �- • C�ty Smte/Z�p Pbone State Licwse No. <br /> �y9 S-�G �/ ../.�_/: S Te f 77� <br /> Contrut Price of Woric propo Usa of Bwlding �/ ^� / <br /> � �6 3 ` L U�� t e �Gf 5'0-4'/- � - ,n - G . � 7� ! /r61 e <br /> Pro�ect Address <br /> Description of Work to Be Done:�(E'�`i�Cc� <br /> NOTE:WAC 296-46-140 REQUIRES'(T;AT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSf1TU1TONAL OR <br /> HEAL7'H CARE FACILIT[ES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WiTH SUCH IOBS <br /> MUSf SHOW TE�STATE APPROVED PLANS BEFORE CITY OF EVERET YERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACBWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAV6 REqD AND EXAMINED THIS APPLICATTON AND KNOW THE SAME TO BE TRUE <br /> AND CORRECI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE A[1THORITY TO VIOLA7'E OR CANCEL THE PROVISIONS OF ANY OTHER STA7'& OR LOCAL LAW <br /> REGULATING CONSTRUCfION OR THE PERFURMANCE OF CONSTRUCI70N. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK POR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE SfATE CONTRACfORS LAW 18.27 RCW AND 296.200 WqC. <br /> X �C� /-/�- ' r� <br /> Fce '� �02 <br /> Signalure Date <br /> t��"73(,i <br /> �i«.rr�nro� <br />