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APPLICATION FOR �LECTRICAL P�RMIT <br /> ���'(D� <br /> crrr or EVEt��-r <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> q8�o3 <br /> �-�- S-. „�.,( is-���c t- �I� "�o Cr�l .� ��e �z�q y�/6 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Meil Address . City State/Zip phone <br /> _�r� �I�� C���-c;o 1� � ''`� � <br /> Electncaf Cbntnctor Mail Address City State/Zip Phone State License No. <br /> Pcm.S�n�r �'nin �f'✓)nc,� � r �!W <br /> Contract Price of Work Proposed Use of Building <br /> 2�- ((a G��c� ��. <br /> Project Address <br /> Description of Work to Be Done: ��I��PD��n ��"lJ�� r v�X�` � � '�' �,,,n <br /> T <br /> S.C.. or- M�� ��t�.lLl�tl�(C� 3` a t�t� �nM <br /> �o l-� v.�f �'2M�.�d2.W�. <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTTfU'fIONAL OR <br /> HEALTH CARE FACII.TTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICA,'9TS WITA SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TfiE SAME TO BE TRUE <br /> AND CORRECT, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHfiTIIER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMI"i DOES NOT PRESIDvfE <br /> TO GNE AUTHORITY 'f0 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED HY T:IE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPL[CATION IS MADE AND I COMPLY WI'CH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � �� G� r� �. � �<� <br /> � Signalur Dale <br /> elecopp(i/5/97) <br />