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t�'\ <br /> l� <br /> APPLICATION FOR ELECTRICAL YERMIT <br /> CITY OF EVERETT <br /> BUILDING DI�S10N <br /> 3200 CEDAR STREET <br /> E•VEREIT, WH96201 259-8810 <br /> EVERe�r[- SCl+eo� Di sTR►cr <br /> 473 � Ca� By I�vt Ev��2�ir' Wp 48203 <br /> Oxvcr Mail Address Ciry State/Zip Phone <br /> ' SJ� m� RS A�AoVc= <br /> Tenant � Mail Address City Stale/Zip - Phone <br /> YAiwey E�cc-r , n, c. <br /> ��/Y BEAI/4Q MARSNQD MT VERNON W� 9849$ 42�hGL�'L VAL4EeC141Nk <br /> Electrical Contnctor Mail Addras City State/Zip Phone State License No. <br /> "�30� oaa� N iG l+ sc �Foo� , <br /> C�ntract Prica of Work Proposed Use of Building <br /> L VFRETT FF�GH SC HOo� <br /> 2ar� coc. ey �Y� EVr- Q�7r, w �. <br /> Project Address � <br /> Description of\york to Be Done: �U �LT OR ( U M T !� E�1T E IZ — <br /> ADD � IYT'UR �S � CN14 � GE' t� A�t� AST �- � u srk�� NC(ti <br /> �� <br /> �_�.►�.�.a � �N K <br /> i <br /> NOTF:W.4C 256-46-140 FtEQUIRES THAT PLANS FOR ELECTRICAL WORI: AT EDUCATIONAL, INS7'ITUTIONAL OR <br /> HEAI.TH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI'I'H SUCH IOBS <br /> MllST SHOW THE STATE APPROVED PLANS BEFGRE CITY OF EVERET PERAi1T WILL BE ISSUED. <br /> NOTE:WtRING IN NON-Dt�'ELLiNGS iS REQl11RED TO BE IN METALLIC RACGWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH1S APPLiCATION AND KNOW THE SAML TO HE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERIQING THIS TYYE OF WORK \VILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES IJOT PRESUME <br /> 7'U GiVE AUTNORIT}' TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STA7'E OR LOCAL LAH' <br /> REGliLATING CONSTRUCTION OR THE PERTORMANCE GF CONSTRUCTION. 7'HAT I AM AUTHORIZED RY THE <br /> 0\VNER OF THIS PRO?'ER7'Y TO PERFOR'�S TkiE WORK FOR\I'FIICH APPLiCATION IS D1ADE Ah`ll I COMPL2' WITFI <br /> THE STATE CONTR.4CTOR5 LAW 15.27 RCW AND 296.200 WAC. <br /> � ���P��. �.. _ <br /> F� a���� <br /> � Signawre D��� <br /> ����OV/ o�«nrr C�s ro? <br /> � <br />