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�rw ,,., <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETI' <br /> BUII-DINC DMSIOt�T (� i J� <br /> 3200 CEDAR S'['REE'�' (}(� <br /> E��TT, WA 98201 r � <br /> ' 259�BB10 <br /> Owner �� ` <br /> Mail Addrcss Cit ��� <br /> ----� � Y - State/Zip Phone <br /> U� <br /> Twant Mail Addrcss <br /> ���y .�.�j�� <br /> � Phone <br /> � � � \ /Zr �/�1 /��/,!'f,4�iT��°iJ�� 1�01(� � r���7'�ir�� <br /> hlectncal Contractor Mail Address <br /> Gry State/Z�p Phone StateLiceaseNo. <br /> � /5�0 � <br /> Contract Pna of Work <br /> rroposed Use of Building <br /> . ����7-7 �9'/� ��' �A�e � r� n l- � �l � <br /> Pro�ect Address <br /> Description of Work W Be Done: <br /> �� <br /> N��:WAC 296-46-140 REQUIRES'I�pT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITfJITpNAL OR <br /> HEAI-'I'H CAhi FACII.i'I'�g gg pppROVED BY Tf� STATE OF WASHIrJGTON. APPLICANTS V✓TfH SUCH JOBS <br /> MUST SHOW Tf�STATE qppROVED PLANS BEFORE CTTy OF EVERET pgRMIT'Wn,L BE ISSUED. <br /> NOTE:W[R�.7� � NON-DWELLINCS IS REQUIR&D TO BE IN METALLTC RACEWAyS (MC AND AC, ARfi CABLES, <br /> NOT RACEWqygj, <br /> i HEREBY CER'I'IFY THq1'I HAVE REqD pND EXAMINED THIS APpLICATION AN7)KNpW T'�S,yME TO BE TRUE <br /> AND CORREC(', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLE'I'ED WITH WFI�IT�[ER SPECIFIED HEREIN OR NOT. THE GRANT(NG OF A PERMIT DOES NOT PRESiJAfg <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LqW <br /> REGULA77N� CONSTRUCTION OR THE PERFORMqNCE OF CONSTRLr�770N. THAT I AM AUTHORIZED By THfi <br /> �WNER OF THIS PROPERTY TO PERFORM THE�yp�( FOR WHICH APPLICATTON IS MADE AND I COMPLY WITH <br /> TfiE STATE CONTRpC7'ORS LAW 18.27 RCW AIVD 296.200 WAC. <br /> 1 '� <br /> r /J 1� � � � <br /> X ��1 !�/�i/ 4`'i 0/I // /'/d � � /.� 7 <br /> Signature � ;�--'' !�L_ Fec�j �` <br /> Date <br /> '�'���� <br /> J de<epP(!/5/93) <br />