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� � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CP.']' OF EVERETI' <br /> BLTILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERET'T, WA 98201 <br /> L"'��R� �r'J P �� S(v 3� 'f(�Z�� 259-88f0 <br /> �EG/CAG DEn�;-�9L (3�DG- a7a.2 Co�dy Svif� 3�� <br /> Owner tvfail Address Ciry State/Zip Phone <br /> C�Aar�'/IT�N,r� l�ALTIf <br /> Tenant Mail Address Ciry State/Zip P6one <br /> GR�u; ,-e �r-_r. /'ux �9d� F U �I�2.o3 a� yy3L �k'h'/✓iFlZ.d'3�G. <br /> Electriwt Contractor Mail Address City State/Zip Phooe State License No. <br /> . 3Saa ra:ti-nq���i� � <br /> Contract Price of Work Proposed Use of Building <br /> Project Address , <br /> Description of Work to Be Doue: C �'LC'.LCL� �,/�,?L'a� <br /> v <br /> NOTE:WAC 296-46-140 REQUIRE•S THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> HEALTH CARE FACILITiES BE APPROVED BY 7'HE STATE OF WASHINGTON. APPLICANTS WITH SUCH IOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CIT! OF EVERET PEP,MIT WILL BE ISSUED. <br /> NOTE:WtRING IN NON-DWELLiNGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARH CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMiNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVER*IING THIS TYPE OF WORK WILL BE <br /> COMPLETED WI1'H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUML <br /> TU GIVE AUTHORITY TO VIOLATL OR � VCEL THE PROVISIONS OF ANY OTIiER STATE OR LOCAL LAW <br /> RLGULATING CONSTRUCTION OR THE P URMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TI�G <br /> OWNER OF TH1S PROPLRTY TO PERFOR' . iE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CON7RACTORS LAW 18.27 RCW AND 296.200 WAC. ��7 <br /> 3g, tj GSaL /� <br /> ,;, <br /> . X " a5�" ' ' .... / '/�' �� FCC /� � L �. <br /> Signatufe // Dale <br /> ����� <br /> �i«orr oisio, <br />