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- , _ ___ __ �_�.—�.�� <br /> - - �/�3��1 I <br /> APPLICATION FOR ELECTRICAL PERNIIT <br /> CITY OF fiVERETT , <br /> BUII.DING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 96201 <br /> 259-88f0 <br /> ����r < 1�� t-�x �'7U? �a'F4-l�e. (,vr� �� �a�- <br /> Owner � Mail Addresa City State/Zip Phone <br /> v Ivi� l.bThm�.2L,ccu �2ltrv� �O aoll 3`lU7 Sea`41�I�WP`ldla`I <br /> Ten�nt , � M�il Addreaa . City SLLtdZip • � P600e <br /> � . ��)b3S�USOS <br /> �/Y.CP1 �i1ZVL t`�O �xX id`l� < '1��Uc� l.� �t'$tXF� � V��R E:c.:GSV�-mu� <br /> Elxtriul ContracWr Mai! Address City S4le/Zip P6one Slate Liceoee No. . <br /> y�l . \\� ' �� ;z-rr� <br /> ContnU Price f Work Proposed Use of Building <br /> �cr�� ('����� � S • Bt..DG 4S-� <br /> Projxt Addrw • . <br /> Deacription of Work to Be Done: 1 1'� S'�'Al.l.. .F++� V OI--T'f�'LTt !� �'Y1 C-� <br /> .�-/S'�tv Y�,• <br /> ' NOTE:WAC 296�46-140 REQUIRES TFLST PLANS FOR fiLECTRICAL WORK AT EDU.CATIONAL, IhSTfI'[TITONAL OR <br /> H&ALTH CARH FACII.ITIES BE APPROVED BY'Tf� SfATB OF WASHWGTON. APPLICANTS WI1Ti SUCH IOBS • <br /> MUST SHOW TFffi STATE APPROVfiD PLANS BEFORE CftY OF EVERET PERMIT WII.L Bfi ISSUED. <br /> NOTH:WIItWa W NON-DW&LLINGS IS RfiQUIIt&D TO Bfi IN METALLIC RACfiWAYS (MC AND AC, ARfi CABLES, <br /> NOT RAC6WAYS). <br /> I Ii&RfiBY CERITFY THAT I HAVfi READ AND EXAMW&D THIS APPLICATlON AND KNOW TH&SAM&TO Bfi TRU& <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNWO THIS TYPE OF WORK W1LL BB <br /> COMPLETED W1TH WI�Y'i-IER SPECIFIED HEREIN OR NOT. TH& aRANTINa OF A PfiRMIT DOES NOT PR&SUMfi <br /> TO GIV& AU1Ti0RITY TO VIOLATE OR CMiCEL TH& PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATIN(3 CONSTRUCfION OR THfi P&RFORMANCfi OF CONSTRUCT70N. THAT I AM AUTHORIZfiD BY TI� <br /> OWNER OF THIS PROPERTY TO PERFORM TF�WORK FOR WHICH APPLICATION IS MADH AND I COMPLY WITH <br /> TF�STAT'E CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. , <br /> �� � $ <br /> .. ' C.J �.�-,� F� Sa?� � <br /> 5i�neturo ,./ D�te <br /> "� ��,j��.�� <br /> .i....,.nram,. <br />