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� ` <br /> A.PPLICATION FOR �L�CTRICAL P�Rh1IT <br /> CITY OF EVERE'I1' <br /> BUILDING DIVISION <br /> 3200 CL•DAR STREE7' <br /> EVERET(', Wq 98201 <br /> 259-8810 <br /> � <br /> �/.�eNdel �.o/%'eR � O oY a�9 ,�s��! �,�v `��05�/ <br /> �—'/�'�pj'7S ,��QC,(/1C[/3^�,� C�ry State/Z�p Pho <br /> .�.�.�.� ��nes �aav9 d�oN .9��. .S? S'�,z�/� p ���-i�9 <br /> Tcoant Mail Address 7 8��Q <br /> db,�r,✓c. j ���Y s���,Z�p o <br /> .S'.�.�-o-L,te aS�-�'�o� <br /> 3y�3 /6'� y E.._ 9��ai asa y9�� <br /> E�ectrical Contractor Mail Address <br /> C�ry State/ZiP Phone �— <br /> .3yar.v`��`oo�'��L <br /> Contract Pricc of Work �e��u�AN� <br /> Proposcd Use of Building <br /> �Sa?6 ��, ipGe <br /> :r��.:ct Address <br /> Description of Work to Be Done: � ,��fp�� /�� ' <br /> / ��L!/!7/�C/,cj� <br /> NOTE:WAC 296-06-140 R&Qp[ItES'fHAT PLANS FOR ELECTRIC,y1,�yORK qT EDUCATIONAL, INSTITUTTO:JAL OR <br /> HEAL7'fi CAR& FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APpLICANTS Wi'('H SUCH IOBS <br /> MUST SHOW THE STATE qppROVL•D PLANS BEPORE C[T'y OF EVLRET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAyS (MC AND AC, /� CAItI.ES, <br /> NOT RACEWAyS). <br /> I HEREpy CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND COR]tEC�', qLL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPL- OF WORK V,'u,L BE <br /> COMPLETED WI7'Ei WHETHER SPECIFIED IiEREIN OR NOT. THE GRAMING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LA�V <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM qUTHORIZED I3Y 7'HE <br /> OWNER OF'fHIS PROPERTY TO PERFORM THE WORK FOR 1�'HICH APPLICATION IS MAD D I COMPLY WITH <br /> -THE STATE CONTRACI'ORS LAW 18,27 RCW AND 296.200 WAC. <br /> X � �� <br /> - �--/a6/9s � <br /> SignaWre p� �O • �=_ <br /> Dalc <br /> . �Ig�'� Z <br /> c:oonrr(3�s�q)1 <br />