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� _ <br /> APPLICATION I'OR �LECTRICAL PERMIT <br /> CITY OF EVERETT � <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> LVERETT, WA 98201 <br /> 259-88f0 <br /> MZtTD I�4f=�A/G�tS'A M ✓G O/ C o I�y �/L �vGG�( (�i/ tf ZS'S ��U <br /> �e* Ma�l Address City State/ZiP Phone <br /> Tenant Mail Address City StateJZiP Phone <br /> —M �✓�l- Lle �-Yt�c £�wt-'�'� w • �{- �iYto� 2Ty- lOoff M�,��gr� <br /> Electncal Con[ractor Ma�l Address Gty State/Zip Phone Slate License No. <br /> � l geo°- �� �p� <br /> Contract Price of Work Prop�o —Use of Building <br /> 3Ceo l Cv I I�M <br /> Project Address <br /> Description of Work to Be Done: �V �i Gt 1.,���� y U�� <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTR(CAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH 70BS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERTvIIT WILL BE ISSUED. <br /> NOTE:WiRING IN NON-DWELLINGS 1S REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREIIY CERTIFY THAT T HAVE READ AND EXAMINED THIS APPLICATTON AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLLTED WITH WHETHL-R SPECIFIED HEREIN OR NOT. THE GRANTING UP A PLRMIT DOES NOT PRESUME <br /> 70 GIVL AUTHORI'fY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE 1VORK FOR WHICH APPL7CATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.20D WAC. <br /> X�..f.yr �� 7�1_L£'? F���--- <br /> Sign�durc � / Datn <br /> �� ����� <br /> � � <br /> decnrp(3/5r93) <br />