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r.A ^ <br /> APPI,ICATION FOR �LECTRICAL PI�;RMIT <br /> CII']'OF EVERLTf <br /> BUILDIA'G DNISION <br /> 3200 CEDAR STREET <br /> E1'ERETT, WA 95201 <br /> sss-ssra <br /> ��z_ �,�o-o✓�� �cn S1 G7 Cu;2c rl' �j��aG <br /> Owner Matl Address ,�s���ry <br /> Gry SGte/Zip Phone <br /> Tenant Mail Address <br /> Ciry State/Zip Phone <br /> C'���nti re �sEc-x�c. /�^v, ,;Zy'cv Ft/ �� 'v2 sr�uu <br /> Electncal Contractor Mail Address �� �-/"aNi!/7l i�c. <br /> CLLy State/2ip Phoae ctate Licens.No. <br /> 7��1� D� <br /> QFf/C� <br /> Contract Pnce of Work Proposed Use of Building <br /> �s�s ���y 5,,,� a�� <br /> Pro�ect Address <br /> Description of Work to Be Done: _(�/�pC U; /1 <br /> NOTE:WqC 296-46-140 RL•QUIRES'ITIAT PLANS FUR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTl7N. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OP EVERET PER1�dIT WILL BE ISSUED. <br /> NOTE: i�✓IRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC F;ACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBy CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND IWOW THB SAT.4E TO BE TRUE <br /> � C�RRECT. ALL PROVISIONS OF T.AWS AND ORDINANCES GOVERNING THIS TYPL OF WORK WIiL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GR4NTWG OF A PERMIT DOES NOT PRESUME <br /> TO GNE qUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSl'RUCTION OR THE PERFORMANCE OF CONS7'RUCTION. THAT I AM AUTHORIZED HY THE <br /> OWNHR OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COD4PLY 1'JITH <br /> THE STATE CONTRACTORS LAW 18,27 RCW AND 29G.200 WAC. <br /> v <br /> X � � � <br /> /� � � <br /> � � �' l� � i,l �a� <br /> Signature F� � <br /> Da�e <br /> � 7S%- (�/� <br /> /�� ��.vo ?� � / �c� �-. <br /> �� <br /> z�� � <i«arr(�isi93� <br />