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� � <br /> APPLICATTON FOR Ei,�CTRICAL P�RitiCiT <br /> � � 'HT1 - CITY OF EVERL•'I"I' <br /> A ;a � BUILDING DMSION <br /> [ ]y F„� 3200 CEDAR STREET <br /> � Hx fn EVERETT, WA 98201 259-8810 <br /> HxH <br /> K f� <br /> �3 7d <br /> � � � S=;y JF��=E,esa•J-.g'e�io�l9�� i���' ffueSF ,�//e��u� /,c�� 98Uos <br /> � ~ Qwner Mail Address Ciry �tate/Zip Phone <br /> � �� S/J�eunp , � �'v wA a�sZa4- <br /> � � g � � ramn-l- I d �1 E��mrr�l Wn,t�t'3 �N�'r <br /> N � Ten(1t � � 1FYai1 Address . . � . City State/Zip � Phone <br /> N� � . . . �'1— Z.1� � <br /> `3 E/Y)Fa' �n� <br /> � H� ,,9 H /Ich�a.e�s �835 S'. %80�'' S% �'ENT l,�JA93'03"L 2S/-pS-fZ E//c2GN�tol/Hk� <br /> l7 Cn Electrie3l Contractor Mail Address City ' State/Zip Phoae State Licease No. <br /> O H <br /> n � N <br /> ��', r � y5.QZr' G'ommt,P('iG'1 ��r1 d�n n-,r� <br /> zy y � Contract Price of Work � Ptoposed Use of$uildiug <br /> y o w /0/L/ Cr�r�e recn Gv � # �i�e�o�/, GtJA 9820¢ <br /> �'. Projzct Address � . <br /> Descripcion of Work to Be Dane: <br /> ' /-�Z(� L/O���E . lF_C \ 7i� � �i►'tMt4CC'f�� <br /> II C�� 9-�Y <br /> �� <br /> i �` � — _ <br /> NOTE:�VAC 296-4E 14� REQ[TiRES T'HAT PLANS FOR fiLECTRICAL WORK AT EDUCATIONAL, INSTI'CUTTONAL OR <br /> HEALTF? CARE FACII.II'fES BE APPROVED BY Tf� STATE OF \VASHINGTON. P.PPLICANTS WITFI SUCH JOBS <br /> A1UST SHOW Tf�STATE APPROVED PUNS BEFORE CIT'Y OF EVERET PER�ITT 1YII.L BE TSSUED. <br /> I I 1 ' NOTE:W1RITtG IN NON-DWELLINGS IS REQUIRLD TO BE II�I METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NO'I'R.•10E'�YAYS). <br /> �'�� I HEF�EBY CLRI'IFY TfIAT I H:,VE READ AND EXAMWED THIS APPLICATION AND KNOW Tf�SA2vfE TO BE 1RUE <br /> AND CORF��CT. ALL FROVISIONS OF LA1VS AND ORDINAiVCES GOVERMNG THIS TYPE OF WORK WTZ,L BE <br /> COMPLET=D WITH WHETF�CR SPECI—rIFD HE?tEW OF NOT. "FHE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORiTY TO VIOLATE OP. CANCEL THE PROVISIONS OF AKY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCI'ION OR TI� PEt�f'ORMANCE OF CONSTRUCITON. TiIAT I Aivf AUI'HORIZED BY TI-IE <br /> �� OWNEic OF THIS PROPEc�TY TO PERFORM TF�WORK FOR WIIICH APPLICATION IS MADE AND I COMPLY WITH <br /> TI-IE STATE COMRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> , X ' /�-��_ Q- /- 93 � F� .3a.�x-' <br /> ' Sig ature . Date <br /> �/'��(J elecePP C�/5. <br />