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CIT'Y OF EVERETT <br />BUILDING DMSION <br />3200 CGDAR STREET <br />EVERETT, WA 98201 <br />� DA6vA�N <br />uwner <br />�` <br />APPLICATION I+OR �L�CTRICAL P�RMIT <br />S3Ao2 evErc��z� wA�C e�Ert�-cT wa 98?n8 <br />Mail Address <br />City Slate/Zip <br />�a•q0�% <br />I'6one <br />'SqM� AS AC�VE <br />Tenanl Mail Address Ci�y State/Zip Phooe <br />M�,�� 5,�,,,, ? Apv�YZnSwG -IGfj9 +lW�l, 9% S.,m-r. v�Rw� A2A• i325 p�e�lertsP�3ui <br />Electrical Contraclor Mail Address Cily SlalelZip Phonr. Slate Liceose No. <br />�f l, Soo �S�.�tv�c� 5'ra-rw,�� SAm� l�s ex�sr�•vG <br />Contract Pricc of Work Proposed Use of Building <br />SQo2 Ev�.2G2� �'A� <br />Project Address � <br />lL. W CN�.�I�2W C—(oO �L� SIC� C2 PLSJ. <br />Description of lyork to Bc Done: INS�T� NE — <br />'Qe�sE �K�STWC� ca•,0� �T5 A�o ��,sc ��)2oA��2�� c�2c��T5 _ <br />NOTE: WAC 296-46-140 RLQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIT'UTIONAL OR <br />HEALTH CARE FACII.TTIES BE APPROVED IIY TI-IE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS SEFORL C1TY OF EVERET PER1vIIT \VILL BL ISSUED. <br />NOTE:IVIRING IN NON-LWELLINGS IS RL-QUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAI3LES, <br />NOT RACEW AYS). <br />I HE[iLBY CERTTFY THAT i HAVE READ AND EXAMINED TIiIS APPLICATION A1QD KNOV,' THE SA]vIE TO BE TRUL- <br />AND CORRECT• ALL PROVISIONS OP LAWS A14D OItDINANCES GOVL-RNING THIS TY'PE OP WORK WII..'.. BE <br />COMPLETED V1'ITIi WHETHER SPECIFIED HEREIN OR NOT. THE GRANCING OF A PERMtI' DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATTNG CONSTRUCTION OR THE PERPORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPiICATION IS �fADL A7`ID I COMPLY WITH <br />THE STATG CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� l� �- G��(,�-- <br />c� (� J94 n <br />r•� � �� <br />D,�� <br />. <br />�� (��� <br />�i«orr �is��: <br />