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APPLICATION FOR �LECTRICAL PERMIT <br /> CiT]'OF EVERETI' • <br /> BUIL.DIMG DIVISION ,/ g <br /> 3200 CEDAR STREfi7' (�� <br /> EVERETT, Wp 98201 <br /> 259-8810 <br /> LSO�—�� CD 77.SS N�.�„�G w.�-� S S�a)'�lt �' 'f�l.7y Z?7 95�41J <br /> Owner Ms�l Address Crty StatdZ�p Phoue <br /> ��O'r....t,� •. <br /> Teuent G Ma�l Addrcss <br /> C�ty State/ZiP Phone <br /> E�"��'C�4� E/<e�+-� r( i'i f,��fo,rj 2G/S S �/atklo S1 S� lY/� 9Q74Y 32Y 67Qn F <br /> Electnnl ContracWr Ma�l Address �•G��Z'Q' <br /> Crty Smte/Zip P6oue State Li—°cease No. <br /> � 42vo.= <br /> Contract Price of Work Proposed Use of Building <br /> 3003 , w a `�• K D �/l7( HO N/ =v-t�t1`t <br /> Pro�ect Addrcas <br /> Description of Work to Be Done: _.Zr,s fw// GO w Ve�f � /�[ �St �0.+f�e� S ��,,ti <br /> Y <br /> �� <br /> NOTE;WpC 296-46-140 REQUIRES 1'HpT PLANS FOR ELEClR[CAL WORK AT EDUCATTONAL, INSTITU'ITONAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APpROVED PLANS BBFORE CITY OF EVERET'pgRivllT�yu,L BE ISSIIED. <br /> NOTE:WIRIIJG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND IWOW THE SAME TO BE TRUE <br /> AND CORREC[', qL,L, pROVISIONS OF LAWS AND ORDW/WCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WFIg7'HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLA'I'E OR CANCEL THE PROVISIONS OF ANY OTHER STATH OR LOCAL LAW <br /> REGULATTNG CONS'CRUCTION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAC7'ORS LAW 18.27 RCW AND 296.200 WAC. / <br /> Z3��r <br /> x Q 1� <br /> �-v' �j <br /> Signetu �'/�_ / <br /> Date F��-- <br /> elecaPP(!/5/93) <br />