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w:� <br /> APPLICATION FOR �LECTRICAL P�RMIT <br /> CfI'Y OF EVERETT <br /> BUII.DING DIVISION <br /> I 3200 CEDAR STREET <br /> EVERETT, Wp 98201 <br /> ?59-8810 <br /> �o�..�� T?JJ h..,��i w S S�» ���. gt2 2 � 7 9 YQO <br /> Owner � MeU ddress City � State/Zip Phone <br /> J�U<—�-t� <br /> II <br /> Tennnt Mail Address Ciry State/Zip P600e <br /> �eris��+.•r Ts�i.../.e-/o� �6/.f' S. Jt��..,.sT. .fet�//r wk9�ly4 EUER(TIrJ197rJ,2 <br />, Elcetncal Contnctor �Mail Address City Slate/Zip Phone Sta a License No. <br /> ����_ � <br />� Contract Prica of Work Proposed Use of Bmlding <br /> .�03 u c�. w. � 1,�.�. !� d- 6, �. �s - ��.o . <br /> i Pro�cet Addrcss <br /> Description of Work lo Be Done: 1h5��( l.�Ow UD�5�_ �ii s c �sn.f.�L CrS�t.,.� <br /> v <br /> �'1s� ZO..� <br /> NOTE:WAC 296-46-140 REQUIRES Y'HpT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALT7i CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH lOBS <br /> MOST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:W[R[NG IN NON-DWF.LL.INGS IS REQUIRED TO BE [N METALLIC RACEWAYS (Mr pA1D AC, ARE CABLES, <br /> NOT RACEWAYS). <br />, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLiCATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC'f, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL HE <br /> COMPLETED WITH WHfi7'HER SPECIFIED HEREIN OR NOT. TNE GRAN'CING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY O'fHER STATE OR LOCAL LAW <br />' REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR N�ljlCli APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CON7RpGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> 3'l�(- %`f r� .5� �v <br /> Sign r Date <br /> ��� / (o <br /> Naapn(!/5/97 <br />