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,.Y, <br /> APPLICATION FOR ELECTItICAL PERMIT <br /> CITY OF EVERBT'I' <br /> BUILDING DIVISIGN <br /> 3200 CEDAR STR�ET <br /> E��TT, WA 982Q1 <br /> 259-8810 <br /> --I .R"( SIL(7'T`I�:a/ —'— �f � I C�LF'`r' f �1i %;-�JI i,,/�j r1����1 �> S�l 9i9, <br /> Owner Ma�l Address City State/Zip Phone <br /> T U� 5�10� �Ikb 2811-i� (bl,i 4 /�UF FUf�,�Ti c� a �Saoj �59 3y5s <br /> Mail Addrcss Ciry State/Zip Phone <br /> �6��� V Si� Y� 1 �038 A�.r�Yc�, A N Sr'a ltlo c A,�SSsI'3 59a 8�3�- SHok'ES I�C�r2L <br /> Electncal Contncror Mail Addrcss City StaW/Zip Phone SGte License No. <br /> Zll � <br /> Contract Pnce of Work Proposed Use of Bmldmg <br /> ��I I—g ��I l��j A�2 ���n�4�,���- �ga�l <br /> rio�ect Address <br /> Ducription of Work to Be Done: <br /> _Cnv►nQ�� �r,o, 5����,lo ��c� Ca6� ��-� �an �� a.0am,n <br /> _d�.d��a��d �,a ��u � � <br /> NOTE:WAC 296-46-140 REQ[JIRfiS THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, iNSTITUITONAL OR <br /> HEAL.'F'H CARE FACILTTIES BE APPROVED HY THE STATE OF WASHINGTON. APPLICANTS WI1T�I SUCH JOBS <br /> MUST SHOW T[�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WII,L BE ISSUED. <br /> N�TE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY TAAT I HAVE READ AND EXAMINED THIS APPLICATION AND IWOW THE SAME TO BE TRUE <br /> AND CORRECT', qLL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING TIiIS TYPE OF WOi2K WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANCING OF A PERMIT DOES NOT PRESUME <br /> TO CNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LC�CAL LAW <br /> REGiJLATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TAAT I AM AUTF.ORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 3 COMPLY W1TH <br /> THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WpC. <br /> �_ /'/ . <br /> X � %�', � <br /> � , <br /> _ •'�i�.i'%l:� ' j� �� 1(ii7 <br /> Fec ,�U <br /> S�gnaturo , Dele <br /> �a�� <br /> elecePp(3/S1931 <br />