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.� _ <br /> APPLICATION FOR �LECTRICAL p�RMIT' <br /> CITY OF EVERE77' <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERE7T, WA 98201 <br /> 259-88f0 <br /> T� L .En/T�,2-oieis�f �trl cra�Y �vevt� c,� . g3�� <br /> o�a S v�rP�a 4b'.k�; s�6� Z.SCf <br /> Mal Address Gty State/Zip Phooe <br /> ���SA ni�� ,�rr- � � 11 CoG�Y .�v� w,4 9a�� �� Z9n <br /> TO°�OL Mail Addrcss 7��L <br /> C' State/Zip P6one <br /> ��i�✓� sr,�N /�/�' I'7�3g �i�o,�A �V s�l/ �,�3 s��a�� s+ro�s <br /> Electncal Contnctor Me�l Address �J.O� <br /> �/� C�ty State/Z�p Phooe State License No. <br /> 7Y/ <br /> Contnct pnce of Woric —�s� <br /> Proposed Usc of Building <br /> 2� <br /> Projxt Address <br /> Description of Work to Be Done:�NN�-(' („/'�/ S�' n/ <br /> NOTE:WAC 296-46-140 REQUIRES '(7;AT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIT[]TJONAL OR <br /> HEAL7'H CARfi FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI7'g SUCH JOBS <br /> MUS'f SHOW TI�STA7'E pppROVED PLpNS BEFORE CITY OF EVERET PERtvIIT WILL BE ISSUED. <br /> N�TE:WIRING IN NON-DW6LLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBy CERTIFY THpT I NAVE REpD AND EXAMINED Tfi1S APPLICATION AND KNOW THE SAME TO HE TRUE <br /> AND CORRECI', pLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7'YPE OF WORK V✓ILL BE <br /> COMPLETED W►7'H Wj(ETHER SPECIFIED HfiREIN OR NOT. 7'E;E GRANT[NG OF A PERMIT DOES NOT PRESUME <br /> 'f0 GNE AUT[iORITY TO VIOLATE OR CANCEL THF PROVISIONS OP ANY OTHER STAT& OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORM/WCE OF CONSTRUCTION. THAT I AM AUT'gORIZED BY THE <br /> OWNER OF THJS PROPERTY TO PERFORM T'f;E WORK FOR WHICH APPLICATION IS MADE,�JD] COMPLY WITH <br /> THE STATE CON'TRpCI'ORS LAW 18.27 RCW pND 296.200 WAC. <br /> X ���_ <br /> � <br /> Signature � I Fec�_ <br /> Dale <br /> ,�.��9� <br /> Necepp p/Sryt! <br />