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---...�... _ .� <br /> APPLICATION FOR �L�CTRICAL PERMIT <br /> y�7K3 <br /> CITY OF EVERETT <br /> BUII.DING PiVISION <br /> 3200 CEDAR 3TREET <br /> EVERETT, Wp 98201 <br /> 259-88f0 <br /> � P.0 [3n x 3?b 7 m�5 o F-�G s�f+-le 9tsi�V 3 y�-733� <br /> � � �'1 �' �J �? � �� Ca,(,'l, p ���,c'/,� ,'/ li/f} �l�f`L< / <br /> Owner Meil ;lddress C�ty State/Zip Phone <br /> 7 <br /> �� � �) , 7 i, > �c� Si 1/ , ��l�f'/r'// �Z�/� `���hli � . <br /> Teoant -�—f----J= <br /> Mail Address Ciry State/Zip Phone <br />� � . oc3 <br /> I ���•�v�� �IPcr{-�� c�.,�..• �/S -S�%'y5-�Y" � �i��P�t7` L��i4 �iY'��1 3y� �crc I�UIToC ' ��7/� <br />� Electrical Contnctor Mai pddrcss CLLy State/Zip Phone Slate License No. <br /> ��� �7�1�ID���n � T� �.��,, ,�r��, T <br /> Contrect Pnce of Work � ���_��� � `�— Proposed Use of Building ` <br /> �3vr,�/ c�1� �ro �� ���=��-i� <br /> Project Address <br /> Description of Work to Be Dona d �' GJ'� L, �t'�%`:� � � Z p1�`���a j j i,� <br /> T <br /> NOTE:WAC 29646-140 REQUIItg$ '('HAT PLANS FOR ELECTRICAL WORK AT EDUCATTONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE f+• WASHiNGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW 7'E�S'CATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLiNGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NO:RACEWAYS). <br /> I HEREBY CERTTFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC'(', ALL PROVISIONS OF ]_AWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED FiEREIN OR NOT. THE GRAM'ING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR C"VCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERi: RMANCE OP CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK POR WHICH APPL[CATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � n m � /� �~ /( z•3 � Fee �yi q(noZ ,OC� <br /> s �C �Dete <br /> daonrr C�I5�97) <br />