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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETf <br /> BUII.DWG DMSTOY <br /> 37A0 CEDAR STREE'I' • ' <br /> EVER�'tT,WA 987A1 " <br /> , 259�B8f0 <br /> L.la�y , /� �' , ' // � . <br /> ,L '� .�9 � .� C c GL' c- �i.c,.-e� �v�✓, ,.� � 1 <br /> �� Mai!Address Ciry S4te/Zip Phone <br /> �/�IY ( G.I'!'� <br /> Tewnt � Ma� Addrrss C�ty Smte/ZiP ' Phonu <br /> ��!2/� S�/�/�'lc��✓lG � �'��6�,v� ��. G�i✓ 9�'�J/ =� �3y/ ��i�s5��/s�iry <br /> b�xtnul Contractor MW Addrcss City State/Zip PLone Smte Iicease No. <br /> :/' /DDU, 6 � ��_CSTi''4yGir�: l <br /> Contract Price of Work Proposed Use of Buifding <br /> Project Addreu <br /> . � / � ' <br /> Deseriptioa of Work W Be Dona: _�/;�'V�' �i 7 �i X r u-��� - C /.�19�✓ �+i�� d(%'/" /.u" <br /> � / — <br /> NOTE:WAC 296-46-140 REQUIItES'CHpT PLANS FOR ELECiRICqI,WORK AT EDUCATIONAL, INST1TUTiDNAL OR <br /> HEALTH CARE FACIISTIES Bfi APPROVED BY TH& STAT& OF WASHINGTON. APPLICqNI'S WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORfi CITY OF EVERET PER1vi1T WII;L BE ISSUED. <br /> NOTE:WIR[NG IN NON-DWELLWGS IS REQ[JIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABI.ES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAYE READ,�TD gX,�TvfWED THIS AYPLICATION AND KNOW Ti3E SAME TO BE TRUE <br /> AND CORRECf, ALI, pROVISIONS OF LAWS AND ORDIN,4NCES GOVERNWG TEDS TYPE OF WORK WII,I, BE <br /> COMPLE'('ED WITfi WHETHER SPECIFIED HERSIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE qLJ'('HpRITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAI, LAW <br /> REGULA7ING CONSTRUCfION OR Tf� PERFORMANCfi OF CONSTFUCI70N. THAT I AM AUTHORIZED HY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TI�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STATE CONIRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X Y V/I D � /� � �s' <br /> - rvl/-�Z'>'�"� �'G+�F `�� J�' 7/ Fe4�21. <br /> Signature Date <br /> elecepp�IS193; <br />