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�� <br /> .-r ^ I m,�l <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CiTt' OF EVERETT <br /> BUII_D1NG DIVISION <br /> 3200 CEDAR STREET <br /> EVEREIT,WA 98201 <br /> 259-8810 <br /> Owner Mail Address City State/Zip P600e - <br /> ��ya ti �30��o.��y ��e �,,�.�.� w�-g8zd� 33� -��?�6 <br /> F��-C-�acG.ku�v <br /> Tenant Mail Address City State/Zip P6one <br /> Ou:��� � <br /> Electrical Contractor Mail Address � City Stale/Zip Phone � Slate Lic¢qse±o.o � <br /> e <br /> awc,�2 w;.P-P o(G �(.cv ;� 6 -� 51�' R � .�- ,, �A v�. <br /> Contract Price of Work Proposed Use of Building @ (j�;�(pph �.� '" <br /> , ������r� �� � <br /> � <br /> Project Address z3oi o y ��-�, N 9�'a/ - <br /> DescriptionofWorktoBeDonc: �pW�l�-e L� �������1 `�3E�1�9 /��d1� `Sc'�-��S <br /> �� l -�,� ., � Q �zc,Q ,nv cr.w-F-�� t-s ;c� « �,� cp a� �/ <br /> NOTE:WAC 296-46-140 REQUIRES 'fHAT PLANS FOR ELECTRICAL WORK AT EDUCA'fIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH lOBS <br /> MUST SHOW THL STA'I'E APPROVED PLANS BEFORE CI'I7" OF EVERE'f PERMIT WILL BE ISSUFD. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN MC•TALLIC RACEWAYS (MC AND AC, AR� CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNO�V THE SAME'f0 BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPL OF WORK WILL HE <br /> COMPLE'I'ED WITH WHETHER SPECIFIL•D HEREIN OR NOT. 'I'HE GRAN'I'ING OF A PER2.IIT DOES NOT PRESUME I <br /> 'f0 GTVE AUTHORITY TO V10LA7'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS'fRUCTION. THAT I AM AU7'HORIZED BY 'IHE �� <br /> OWNER OF THIS PROPER7'Y TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH �� � <br /> TI{E STATE CONTRAG70RS LAW 18.27 RCW AND 296.200 WAC. <br /> X ��� D 2- � 3 , 9'� F� ��---�-- <br /> • Signature Date � �� <br /> 30 <br /> � ���Sa <br /> cle:opp(7/Slo� <br />