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. 'u '�A,"s�'.�"�is'._ . <br /> � _._.. .,.—.. , -.-.--«.._. . ._ _��.-1-:� . <br /> APPLICATION FOR �LECTRICAL PERMIT <br /> CITY OF EVERETI'� <br /> BUII.DING DMSION <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 98201 <br /> 259-8810 <br /> �/'c/Lt� G`'�i��`l� .���0� C�,f�„!S�1 .f�f//3- . <br /> Ovmer . Mai Addres.'s City SGte/Zip P6one <br /> Tenant " � Mail Arldress City State/Zip P6one <br /> ��z.�-- ,D2y �r7.�v ,35��j3 . �rr3: Gr%� lr'A'/.�/'.�j3 �•/%�� Td�c�r�ro.c'r!- <br /> Electrical Contnctor Mail Addres;: City State/Zip Phone State License No. <br /> � �9"�J. o� � <br /> Contract Price of ork Proposed Use of Building <br /> ��O� l�L�'P�+� ,�j/6' <br /> Project Address . � <br /> Description of Work to Be Done: ��7.4�.�C. 76YD �'� S�� /�fJ�l3!'�t�9lti�J <br /> /,[..cd/�/.c%�7�nY ��r.r.JS 4� G�L7��"i0i� !l/.a��S <br /> NOTE:WAC 296-46-140 REQUIItES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WiTH SUCH JOBS <br /> MUST SHOW TF�STATE APPROVED PLANS BEFORE CTTY OF EVERET PER1v11T WILL BE ISSUED. . <br /> NOTE:WIRING W NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ART3 CABLES, <br /> NOT RACEWAYS). <br /> I HERfiBY CERTTFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLE'I'ED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'TWG OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTFIORTI'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TfiIS PROPERTY "TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> 7'HE STATE rON'['RAC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> �/%i � / /^ <br /> l /�zl�i�'�� �'� 1r — pec �1,� . <br /> Signature Date I� <br /> ��,I <br /> � ��«arr P�s�v <br /> ���':i��'::j.�... � . <br />� <br />� <br />