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� <br /> APPLICATION FOR �L�CTRICAL PERMIT <br /> CIT'Y OF EVERETT <br /> IIUILDING DMSION <br /> 3200 CEDAR STREET <br /> EW:RETT, WA 98201 <br /> 259-88f0 <br /> Taerea�,,au►cg l�,e� 3�0-�08�u��40�- 3E��Evc.� ���s�u� GUg 9�M�1 <br /> Owner Mail Address City State/ZiP Phoue <br /> Tenant � Mail Address . City State/Zip � Phoue <br /> E�Ic.dJJfR SLuQSiS✓r__ 3401 EVP�2E7fAJE EVdET� WA �s82o/ �`�"J-LG/ e"Y-LA-NS•S142[.� <br /> Electrical Contractor Mail Address City State/Zip Phane SGte License No. <br /> ICont�t P�f Work Proposed Use of Building <br /> �LzR�.�u.YQ� <br /> AA�o 7��ock. w- No�rrFc-�� ��e„�' G�� <br /> Pro�ect Address <br /> Ducription of Work to Be Done: �rtjNQOQAQ.t. wP�� �'T' � � v �.p p� L( TLS <br /> 5 <br /> ' NOT'E:WqC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK ;'1T EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SFIOW THE STATE APPROVED PLANS BEFORE C1TY OF EVERET PERMIT WII,L BE ISSUED. <br /> NOTE:WIRING IN NON-DWELIAIGS IS REQUIP.ED TO BE IN METALLIC RAC6WAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERITFY THAT I HAVE READ AND EXAMINED THIS APPLICATIO�i AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAV�'S AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITA WHETHER SPECIFIED HEREIN OR NOT. THE GAAN'fING OF A PERMIT DOES NOT PRESUME <br /> TO C+NE AUTHORITY TO V70:.ATE OR CANCEL THE PROV7SIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR TH� PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X / 7 ` ��� Fec �� <br /> ignaturn Date <br /> , �� �o � . <br /> cleeopp(3/S/S <br />