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frii � <br /> Al'PLICATION Ir'OR FLECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> �n/�-v���� � ����lr�l��ke-.ti. �(o �12. h�t3 1 � ��-Ei,r11 q�°' i �/Ss'-(Eo9 <br /> �u Ms�l Address Ciry State/Zip Phone <br /> �I�� LC C_.T17 1 '���-L"i (�v C�i� v-I C?�/�nwtJl \h��. 9voL(o 7C/J" Z89( <br /> Tenwt Mail Address City State/Zip Phoue <br /> �h� !� L T 1� <br /> Elxtncal ContncWr Mail Address Ciry Stale/Zip P6one State Licease No. <br /> �l �ooc� � �L S'T��V 2 Ahl'� <br /> Conmct Price of Work Praposed Use of Building <br /> zszc� c�t�.. ��� c2�«Z,��z;� �,./�. 9gz�� <br /> Projxt Address � � <br /> DescriptionofWorkMBeDone: 1�s-�'c. l � oc�- L �-�Tc .f. �� c,L,-fi-,� ��--� (.t�� <br /> 6 <br /> -- rL\-k c�ta I- l�J,-(��oo�r r <br /> NOTE:WAC 296�6-140 REQURtES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> AEALTH CARE FACII.R'IES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS 1��ITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMTT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINCS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HERLBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR T:'S PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED HY THE <br /> OWNER OF THIS PROPERTY TO PERFURT4 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br /> X <br /> �/� �� ��� �3 F� _��Z, S� <br /> Signature . -� � Da!e <br /> "1��1�� elecepp(!/S/9Jj <br />