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� _ � I <br /> � ��. <br /> i� �r � <br /> / 1 c>ocUL, <br /> / 1 <br /> Y '" <br /> APPLICATION FOR �LECTRICAL P�RMIT <br /> CITY OF EVERETT <br /> • BUILDiNG DIVISION � <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 258-BB10 <br /> BOEING COMPANY p.0. BOX 3707 S.:ATTLE WASHINGTON 98124 342-7339 <br /> Uwer Mul Addrese City � State/Zip P6one <br /> Twwt - Mail Addrw Ciry SUWZip P6one <br /> FLETCHER INDUSTRIAL, INC. P.O. BOX 1417 , MUKILTEO, WASNINGTON 98275 392-7953 i <br /> Elalrical ContneWr M�il Addresc Ciry SutdZip Phonn Sute Licease No. �� <br /> /v � � = ac,�"u `/1� - �// �� ; <br /> Conlnct Priee of Work Propoud Uu of Building <br /> `�'� GJ �aa�Lo Q� ��ene�l G�la <br /> � Project Addreaa � <br /> Deuriptioo of Work to Be Done:_ �/7"W.lt(�C�C. Q.O���CJi [�)(h - , L�'GX-O <br /> NO7'E:WAC 2%-�6-140 REQUIRES THAT PLANS FOR ELECIRICAL WORK AT EDUCATTONAL, IN5177'U770NAL OR <br /> HEALTH CARfi FACILIT[ES BH APPROVED BY 7'Hfi 5fAT6 OF WASE�I6TON. APPLICANTS W1TH SUCN )OBS <br /> MUST SHOW Tf�STATE AppROVED PLANS HEFORE CffY OF EV6RET PERMff WILL Bfi ISSUED. <br /> NOTE:WIRINa IN NON-DWELLiNOS IS REQU(RED TO BE IN MEfAI1.IC RACBWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HERfiBY CER7IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THB SAMS TO BH TRUE <br /> AND CORRfiGT. ALL PROViSIONS OF LAWS AND ORDINANCES GOVERNING THIS 7YPfi OF WOR1C WILL BE <br /> COMPLETED WITH WHEfHER SPECIFIED HEREIN OR NOT. THF.GRANTING OF A PERMIT DOFS NOT PRESUME <br /> , TO GIVE AUTHORI'CY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATG OR LOCAL LAW <br /> REGULA7'1NG CONSTRUCf10N OR THE PERFORMANCE OF CONSfRUCfION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPUCATION IS MADE AND i COMPLY WITH <br /> THE SfATE CONTRACfORS LAW 18,27 RCW AND 296.200 WAC. ; <br /> ✓ 'i <br /> •:i <br /> �.,.p� " �-- 0-�, � _ �:'-�. ��,.4, . � �. � 7- I� F� ;57 � o ,,� <br /> Sipn�turo Dele n ' . <br /> 11 , `� <br /> �\��3�i <br /> .:.� <br /> ciec.raOnro�) r,'�9 <br />