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AI'PLICATION FOR �LECTRICAL P�RMIT <br /> C(TY OF EVERETT <br /> BUII,DiNG DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> '���u� C`� �O �K 37�7 M�SOF76 SEA7nC� /�!A <br /> Owner Ma�l Address 9��ay `�� 43�� <br /> Gty State/Zip P600e <br /> Tenmt Mail Address <br /> CitY Slete/Zip Phone <br /> ��IEAl7EIQi�RLsaC /r.2DTr NC //p7P/aC REDMCriO `�8�5.2 �d�.tY00 NEA1dEE/O�JNF <br /> Electnnl Contnctor Mail Address Cdy Slate/Z�p Phone <br /> 7rU0�p State License No. <br /> Contract Pric-of Work proposed Use of➢uilding <br /> 3abo c� e,��No RD $t0 �/s=05! !2� E'� ReF ldSC1 <br /> Project Address <br /> Descriptiou of Work to Be Dona PRa UlDE �+1/R pJ � �i E��N S`�LUc� ,QT/( <br /> � ���0� UN/j <br /> QFMo1s ca,vrno aANc� cq,�o�iusA7� PiMPs con��2o �w� <br /> w Pawt ,�a cHiu�x <br /> �^'�': uncizc-- �vsriuy R�wcrf c�Rcu�,— � i,�sTAtc Paw�x Di-Ra�eu;tiuN � <br /> U6 vNr15, �— <br /> NOTE;Wq�Zgb-46-140 REQUIRES 'I7�[AT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> HEA[.TN CARE FACILITIES AE APPROVF.D BY THE STATE OF WASHINGTON. APPLICANTS WITI7 SUCFI JOBS <br /> MUST SHOW THE S'CATE pppROVED PLANS BEFORE CITY OF EVERET PERMiT WILL HL ISSUED. <br /> NOTE:WIRING IN NON-DWELLiNGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE. CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CER]:FY THAT i HAVE READ Ap1D EXAMINED 7'HIS AppLICATION AND KNOW TNE SAME TO BE TRUE <br /> AND CORItEC►', pLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BL- <br /> COMPL[TED W!'['y WgFTHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A P�(�IT DOES NOT PRESUME <br /> TO GNE AUTHORiTY TO VIOLA7'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCi'ION OR THE PERrORM,4AJCE OF CONSTRUCTION. THAT I AM AUTHORIZ,ED BY TfiE <br /> ��1'NER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH APPLICATION IS MADE AND I COMPLY WI'TH <br /> THE STATE CONTRACI'ORS LAW 18,27 RCW AND 296.200 WAC. <br /> X �����``�„`` � lu-1s-S3 <br /> Signalure -- _ Fce �.3.Z�� <br /> D81C --�-� <br /> ��'� - <br /> ��«�rr ois���� <br />