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•-. ,�. <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERfi'('I' <br /> 6UR-DINO DMSION <br /> 3200 CEDAR STREE"t' <br /> EVERETT. WA 98201 <br /> 258-88f0 <br /> a"'°� Mdl Addrcss C�� <br /> Y State/Zip Phone <br /> V/Y?/Jcy <br /> Twant Mnl Address <br /> City State/Zip Phone <br /> 9�/2 <br /> �/� �_�, �� �_a�l l �- lzz,� �'�� <br /> � ��.r- o <br /> nixtnul Contnctor G Mul Addresa Ciry State/Z�p PLoae State Licmae No. <br /> �d � �I,'� <br /> Contnct Pnce ofaW'� `��F`'T'c'!'i/Q <br /> Proposed Use of Hwldmg — <br /> �_�CX�3 �) -Q��.�Y� �S Lv3U <br /> Projxt Addrcse <br /> � <br /> Deacription of Work to Be Dona ,�Piv//,pF C�rIl�ii T � �j,�� �� <br /> �F�-�- �� �C��T.� � 'r"' <br /> - _ _ JC�ay U E � i �. /7/J Gc�, <br /> NOT&:WAC 296-4b-140 R�QU(RES '17;AT PLANS FUR ELECTRICpI,q�pRi(AT EDUCATIONAL, WSTITU'l70NAL OR <br /> H&ALTH CARE FACILI'I'IES Bfi APPROVED BY THE STATE OF WASHINGTON. APPLIC,4NTg VyIT'F[ SUCH JOBS <br /> MUST SHOW'1'F�STATE APPROVED PLANS BEFORE CTfY OF EVERET PERMIT WII,L g&ISSUED. <br /> NOTE:WIRING IN NON-DWELLiNdS IS REQUIRED TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTlFY THA'C I HAVfi READ AND EXAMWED THIS APpLICATION AND lWOW TFffi SAM&TO B8 TRUE <br /> AND CORREC!', p[L pROVISIONS OF LAWS AND ORDINANCES GOVERMNa 'I'HIS TYPE OF WORK WILL BE <br /> COMPLE'I'&D WITy WFig7'HgR SPECIFIED HERfiIN OR NOT. THE GRANTIN� OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHpR1'('y TO VIOLATE OR CANCEL THfi PROVISIONS OF ANY OTHER STAT6 OR LOCAL LAW <br /> REO[JLATTNG CONSTRUC770N OR THfi PSRFORMqNCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY 7NE <br /> OWNER OF THIS PROPERTY TO PERFORM 'I'F[6 WORK FOR WHICH APPLICATTON IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACI'pRS LAW 18,27 RCW AND 296.200 WAC. <br /> X � � <br /> Signature ' ' � ra �'-r' 7 <br /> Date <br /> </l�l�9 <br /> cicnPP(7/5/9J) <br />