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CIT'1' OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />111�� ��P <br />Owner <br />A.PPLICATION FOR �LECTRICAL PERMIT <br />Address <br />Tenan1� Mail Address <br />CS�Go ��eci-r �c <br />� <br />City <br />ciry <br />State/Zip <br />State/Zip <br />s9�7i ; <br />Phone <br />PLone <br />r�-l�-(-9 A-R-E'-('� lS91 �i %�' � Q U�4 5E �Il!•� ��lcJ 6 <br />han�sh�fl-9 d (�r��SS!% Pnn(�nf /h � <br />Electrical Contractor Mai1 Address C�ty State/Z� Phone <br />P State License No. <br />�� ��. GL <br />O�FIGE <br />Contract Price of Work Proposed Use of Bmldmg <br />l 83'� L=V - r�C-�R��� W�4`f <br />Pro�ect Address <br />Description of Work to Be Done: �(�T C12r'� �iTS i�i �� j� p�ly�� �, �¢�W��HG <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELBCTRICAL WORK AT EDUCATIONAL, INSTITUT'IONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASffiNGTON. APPLICANTS WTfH SUCH 70BS <br />MUST SHOW TFIE STATE qppROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY TFIAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AI�D OItDINANCES GOVERNING THIS TYPE OF WO�{ �yu,L BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING COtv'STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />01VNER 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 WF '. <br />X <br />��'���. �� <br />_ 1'l � ) � <br />�' /' C � <br />J Fee . � <br />Date <br />elecnpp (J/S193) <br />