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� �: <br /> APPLICATION TOR �L�CTRICAL PERMIT <br /> CIT'Y OF EVERLTT <br /> BUII.DiNG DIVISION <br /> 3200 CL•DAR STREET <br /> EVERETT, WA 98201 <br /> � /J 259-8810 <br /> �CI�a�C' ��I� ��oi�. � �� ���/� (��'p��� ,4.� J- �)'Ja`u <br /> h��ooN�,.►,�- 4oa.vv C�' !�y �Yc,eQr w�- �'�'�, Z �-9��3 <br /> Owncr Mail Address City Slate/Zip P6oue <br /> ly� ��o�lac.�S - �{o �a �e/�y tV� wA r�'L'io/ ZSj-�jl/3 <br /> Tcoanl Mail Address . Ciiy Slate/Zip Phone <br /> c�'[Ar�sul�t� 5�-36a, Evvc7�.E:rAyE- � 1� �8�a� - Z56� �i�i- Evca,�s s�-IzcP <br /> Electrical Contractor Mail AdJress City Slate/Zip Phone State Liccnse No. <br /> av <br /> �°°p� ��,�r�,.� <br /> Contrac(Priec of Work Proposed Usc of Building <br /> 4azv �16y. � ' <br /> Project Address . <br /> Descriptioo of Work to Be Done: W��f IJ(o �-(�Dt nanl • '' !� �� Cpti1D� i�/a�C�'--- <br /> NOTE:WAC 296�6-140 RLQUIRES 11iAT PLANS FOR EL.LCI'RICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITfES IIE APPROVED BY THL STATE OP WASHINGTON. APPLICANTS WITH SUCH ]OBS <br /> MUST SHOW THE STATE APPROVL-D PLANS IIEFORL CITY OF LVERET PLRMIT WILL BL ]�SUED. <br /> NOTE:WIRING IN NON-DWLLLINCS IS REQUIRL•D TO BE IN MLTALLIC RACLWAYS (1�1C AND AC, ARE CABLES, <br /> NOT RACLWAYS). <br /> I H6RLBY CLRTIFY TIIAT I I�AVG RL•AD AND EXAMINGD THIS APPLICATION AND KNOW TISE SAML TO I3G TRUE <br /> AND CORRECT. ALL PROVISIONS OP LAWS AND OADINANCLS GOVGRNING THIS TYPL OF WURK WILL BH <br /> COMPLETL-D WI'fH WHETHER SPL•CIPIED I�LRHIN OR NOT. THL- GRANTING OF A FERM[T DOLS NO'C PRESUME <br /> TO GIVL AUTHORITY TO VIOLATE OR CANCEL THL PROVISIONS OI' ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR TIiE PLRPORMANCL OP CONSTRUCTION. THAT 1 AI.4 AUTHORIZED BY THL <br /> OWNER OF 71�IS PROPERTY TO PERPORM T}iL• WORK POR �'�HICH APPL(CATION IS A1ADG AND I COMPLY WITH <br /> THE STATL• CONTRACTORS LAW 18.27 RCW ANll 296.200 WAC. <br /> X �' �� — /7— �.5� Fee� <br /> SignaWru Datc <br /> �7p�/ <br /> ��«e��a�s�s <br /> �_ _-..� _ -- <br />