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� ���Oi � <br /> APPLICATION FOR �L�CTRICAL P�RMIT <br /> CITY OF EVE�.ETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERE7T, WA 98201 <br /> 259-8810 <br /> �c,»nr�CS�{H�[IALi4,(LDr� � , P.O I°x c 4�J 5�� <br /> Owner Mail qddress �% � 9q�� <br /> Ciry Stnte/Zip Phone <br /> �o��r.r� C*�MM�IAL ,p iRPw►�, c� P o Ra�z.434� � � `r�3i'�, <br /> Meil Addrus C�ty S�ate/Zip <br /> P6one <br /> �-I OLN �S �t��L P�. I'�w h9 Q�.-�IGl�I \,Vq 9805`7 ZZ7�i6�3 <br /> Elxtncal Contractor Mail AJdresa <br /> C��Y Slate/Zip Phone Slate Licensc No. <br /> � i �t r�pp— c <br /> Contract Pnce of Work Proposed Use of Building <br /> ��� Iti� ctk,► __rt��1� � a��y 5 6'�b I <br /> Pro�ect Address � <br /> Description o(Work to Be Done: I <br /> L'�t1�'r+ 1'1 X MO�'r.(� 'T fJ�(�;(L <br /> .��ur�N6/a�w� <br /> i - <br /> NOTE:WAC 296-46-140 REQUiRES THqT PLANS FOR ELECTRICAL WpR[( qT EDUCATIONAL, ]NSTITUTTONAL OR <br /> HEAL'['!I CARE FACILiTIES BE ApPROVED BY THE STATE OF WASHINGTON. APPLICAN7'S WITFi SUCH IOBS <br /> MUST SHOW THE STATE 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 /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT 1 HAV6 READ AND EXAMINED THIS APpLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT, ALL PROVISiONS OF LAWS M�D ORDINANCES GOVERNING 7'NIS TYPE OF WORK 1ViLL BL• <br /> COMPLETED WJTH WHETHER SPECIFIED NEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GiVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PRGPERTY TO PERFORM THE WORK FOR W}iICH APPLICATION IS MADE AND I COMPLY WiTy <br /> THE STATE CON'I'RACTORS LAW 18,27 RCW AND 296.200 WAC. <br /> X <br /> —"',�'� � �� l 1 <br /> Signat�re � � Fee__� <br /> �81C <br /> C H , � � <br /> i <br /> �te�err�isio�� <br />