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, � <br />/�-�3�7 <br />,,�' � , <br />C1TY OF EVERE'I"t <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />APPLICATION FOR ELECTRICAL PERMIT <br />V yz�Scd .�as ��2�1 �i� <br />�// 9�0/z <br />J� G�ofl �y S �-6 r� l�� <br />Owner Mail Address <br />� � 6-����� �'s T� e � �'vu�.c <br />Tcnant . Mail Address ' <br />� � ���UC� i62�Z S�� <br />��V'1^ C� <br />Electrical Contractor Mail Address <br />E� <br />Contract Yrice of Work <br />� 6 a I �I�� � � � . a1 �, �1.2�,� <br />Proju:t .qddress <br />Descriptiou of Work to Be Done: �\S CU' ��w•2 <br />(7-oe-� uv��� s_� YV� a��� l'Un.,. <br />+Cu c�- � ��-- �a �.�.Q I n ���r,� <br />v�¢.� � � <br />Cit <br />�co_s-v, w �, �w <br />. , r��y <br />-Cc�. w� :�'*�F-13S <br />City ! StatelZip <br />Proposed Use of Building <br />� <br />�+ 3 8 �ci. t <br />..�� is,,.-% 3 M <br />,� A+.` �� iF <br />nw _ / _ <br />State/Zip <br />Phone <br />StatelZip . . Phoue <br />��..�GT �� I I o R � <br />� V�i 1 e.w2;: �� - w��. Q$ 4( Z. <br />Phoae State License Nu. . <br />:�-/ �1��..f Nv ac. <br />� <br />NO'I'E: WAC 296-46-140 REiQUIRES THAT PLANS POR ELECTRICAL WORK AT EDUCA'ITONAL, INSTiT'UTIONAL OR <br />HEALTH CARE FACII,ITL'sS BE APPROVED BY'THE'STATE OF WASHINGTOtd. APPLICANTS WITH SUCH ]OBS <br />MUST SHOW TEIE STATE .4PPROVED ?L�NS REFORE C1TY OF EVERET PERMIT WII.L BE ISSUED. <br />NOTE: WIIiING IN NON-DWELLINGS IS REQUIRED TO BE IN T+fETALLIC RACEWAYS (MC AIv'D AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I AAVE READ AND EXAMINED THIS APPLICATIOr' AND KNOW TFIE S,4ME TO BE TRUE <br />AND CORREC'I'. ALL PROVISIONS OF LAWS AND ORDINrLNCES GOVERNING THIS T'YPE OF WORK WII.L BE <br />COMPLETFD WITH WHE"CHER SPECIFIED HEREIN OR NOT. THE GFL�N'ITNG OF A PERMIT DOES NOT PRESUME <br />TO GIVE pU'I'HORITY TO VIOLP,TE OR CANCEL THE PROVISIONS OF ANY OTFIER STATE OR LOCAI. LAW <br />REGULATING CONSTRUc_TION OR 7'HE PERFORMANCE OF CONSTRUCTION. TFLAT I AM AUTfiORIZED BY THE <br />OWNER OF TFiIS PROPEP.TY TO PERFOR�f TI-IE WORK FOR WHICH �.PPLICATION IS MADE AND I COMPLY WITH <br />THE STAT:s CQNTRA:.'TORS LAW 18.27 RCW AND 296.200 WAC. <br />R <br />Signature <br />Fee <br />ele<noG 01519J) <br />