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CITY OF EVERETT <br />HUII.DING DMSION <br />3200 CEDAR STREET <br />EVEREIT, WA 98201 <br />APPLICATION FOR �LECTRICAL PFtXMIT <br />Addrcss <br />�, <br />259-88f0 <br />Ciry , State/Zip e <br />�3y-��� <br />Tenant Mail Address . City State/Zip P6one <br />I (� `f1%,� <br />�Al�io S%p✓v,�s F� %�c �0 ���v �is�� J-� `�Pr/ON.i w,�. .��r-y�ss��,tcs����r <br />Elxtrical Contractor Mail Address City State/Zip Phone Smte Liceasc No. <br />U :� �� 9—c � <br />Contract Price of Work Proposed Use of Building <br />Projxi Abdrcss / <br />Description of Work to Be Done: !�2 w ��C � D v l�� %S 9� S G� ���S <br />� <br />NOTE: WAC 29ti d5-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATION,4L, INSTIT[TIIONAL OR <br />HEALTH CARE FACII.IT[ES BE APPROVED BY Tf� STATE OF WASFIINGTON. APPLICAN'I'S WITfi SUCH JOHS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE CITY OF EVERET PER1vIIT WILL BE ISSUED. <br />NOTE: WIRWG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTICY THAT I HAVE READ AND EXAMINED THJS APPLICATTON AND KNOW T'HE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br />COMPLE'1'ED WITY. WHETHER SPL•CIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUT'HORI'I'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGIJLATTNG CONSTRUC!'ION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZLD BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'I'H <br />THE STATE CON'CRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signature <br />Dale <br />�j�3 3 <br />Fee_�—,�,� <br />eiecepp (!15/93) <br />