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CITY OF EVERBTT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />Eygg�TT, WA 98201 <br />Owne[ <br />�a�L d�oceu <br />A-� �szs.�e�. <br />Tenant <br />Contract Price of Work <br />� <br />APPLICATION FOR ELECTRICAL PERl��IT <br />Mail Address <br />Address <br />Mail Addrus <br />Cily <br />, ..a r_A� -tt <br />City <br />y� Sem t�_.z_�t�o. <br />City State/Zip <br />Proposed Use <br />State/Zip <br />State/Zip <br />7l <br />259-88Y0 <br />Phone <br />3 y'1 y l 33 <br />Phone <br />'i3s-u�V`f �o����-m.m <br />Phone �' State License No. <br />�o — wa-� � ���-k' . <br />Project Address <br />Description of R'ork to Be Done: -100 ���- <br />�1' X 10' �ti.ua� S�� <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANY F� STAT'E �F WASiiINGTON UAPPLICANTS W1TH ST-T <br />HEpLTH CARE FACILTTIES BE APPROVED B <br />MUST SHOW Ti� STATE AP1'ROVED PLANS BEFORE CTTY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NOAT-DWELS-INGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAI3LES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMiNED THIS APPLICATION AND Kid��'✓ THE SAME TO BE'I'RUE <br />AND CpgRECT, ALL PROVISIONS OF LAWS AND ORDiNANCES GOVERNING THiS TYPE OF WORK WII-L BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMtC DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR C.INCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />OWNER OF THI3 PROPERGTY TO PERFURM THS VdORKCFOR WH CH AP LICATION IS M� A� O �MP Y� H <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Fee� <br />L' ZU I " <IccnPp (!/519J) <br />