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�' � <br /> APPLICATION FOR ELECTRICAL PERMIT I <br /> CITY OF EVERETI' <br /> BUILDING DIVISION <br /> 3200 CEDAR SIREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> l�OGr'1� ? ?SS M��.L W� S S� ii/�/f"' [ kI.2�F .Z47 �'i�fll <br /> Owner Ma�l Addres Gry State/Zip Phone <br /> _Ud G�i <br /> Teuent Mal Address Ciry Stete/ZiP Phone <br /> / ,2 - 3'O <br /> E/toT/�c+� Cen��. �- s ci t C 1 E�o„ tT Ss.� W� �dy�lY tU R/ Fi 7n� Ce. <br /> Elect 1 Contnctor Ma�l Addrcss City State/Zip Phon State License No. <br /> +����, w <br /> �L_�[�Cl. -- <br /> Contract Price of Work Proposed Use oF Building <br /> 3�3 w �`-� Ro.�..� Gaf�• 112 d G, f� yS- 6zo <br /> Prqxt Address <br /> Ducription of Work to Be Done: Ta ��x// /r,// ,Qoo�.r jy.�,,.3(�`Le 12� VLr Gk T <br /> _ � TO .oe�...ai C.JnIYiL P+-.e� T�✓.+e4 �•e �- LrUkr <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATiONAL, INSTITU770NAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STA7'E.OPPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING I.V NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTTFY THAT I HAVE READ AND EXAMINED THIS APPLICATTON AND KNOW THE SAMfi TO BE 7'RUE <br /> AND CORREC(', qLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORIi WILL DE <br />' COMPLE'I'GD WITH WHETHER SPECIFIED HEREIN OR NOT. T'HE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORI7Y TO VIOLATE OR CANCLL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 'fHAT I AM AUTHORIZED BY 'I'HE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH1CH APPLICATION IS MADE AND I COMPLY WITH <br /> i THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� X <br /> 3=/ - F� �� <br />, s'g r Dace <br /> �3�� <br /> deoerr��si°, <br />