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-�,, ^ <br /> 5 APPLICATION FOR E�,ECTRICAL P�RMIT <br /> �� CITY OF EVERETT <br /> SUII.DINl3 DMSION <br /> 3200 CEDAR STR&&T T <br /> EVEREIT,WA 98201 <br /> 259�B810 <br /> l�� z�c_ �► a.,��t— <br /> Owner Mul Addrcas City . State/Zip P6one <br /> I�►�r� � <br /> Taamt . M�il Addrcss City Slate/Zip P6one <br /> R�6+,i,r �262ti EL�.c. IZ -12��^��z,��12v ta 9800 `�5537932oEi a,F�� <br /> filxtricdContncWr M�ilAddrcas Ciry StaWZip P6oae SbteLiamaeNo. <br /> ��00 � � C(aMTrt.tL„A <br /> Contnct P ce of Work Proposed Uae of Building <br /> LO .� �/5 � �3� <br /> Project Addrese • , <br /> Deacription of Work W Be Done: l!� p J � <br /> —_��� �n ix <br /> NOT6:WAC 2%�16-140 R&QUIRfiS THAT PLANS FOR ELECTRICAL WORK AT EDUCATTONAL, INSTTfUT70NAL OR <br /> HHALTH CARfi FACII.ITIES BB APPROVED BY THE STAT6 OF WASHINGTON. APPLICANCS W1'I'H SUCH JOBS <br /> MUSC SHOW Tf�STAT6 APPROVED PLANS HEFOR&CTfY OF fiVERH'f PERMIT WILL B&ISSUED. <br /> NOT6:WIRING IN NON-DWELLIN�S IS R&QUIRED TO B&W METALLiC RACfiWAYS (MC AND AC, ARfi CABLES, <br /> NOT RACEWAYS). <br /> I H&RfiBY CERTIFY'fHAT I HAVE READ AND EXAMINED THIS APPL1CATfON AND KNOW TFI&SAMfi TO BH TRU& <br /> AND CORREGT. ALL PROVISIONS OF LAWS AND ORDWANCES GOV&RNINQ THIS TYP& OF WORK WII,I, BE <br /> COMPLETED WITH WfIETHER SPECIFIED HEREIN OR NOT. THE GRANTTNG OF A PERMTT DOfiS NOT PRfiSUMH <br /> TO GNE AUTIiORI'fY TO VIOLA7'& OR CANCEL THfi FROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REaULA7TN(3 CONSTRUCTION OR THE PERFORMANCfi OF CONSTRUCTlON. THAT I AM AUTHORIZ6D BY THB <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADS AND I COMPLY W1TH <br /> TH&STATE C NT'RACTORS LAW 16.27 RCW AND 296.200 WAC. <br /> X `''') <br /> /' Fx 23� <br /> ignatu e Dale <br /> �i«.rr�nro» <br />