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APPLTCATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> ?200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> O L� v �� c� �ar� Y��x.Ya�c 1o3�a ��wy ��S. �x.�l,,� �3.y�w <br /> Owner Mail Address City State/Zip Phone <br /> Tenanf Mail Address City State/Zip Phone <br /> �L..�-i �RV�L�3c�_ �e J c.S�-.-o ��� thG a. �lY'.L ��O vC�X ��`�'�i �7la.� �l�OC� �-5 �'�' <br /> Electrical Contractor Ivfail Address City State/Zip Phone State License No. <br /> , ysoo, oc� ��.�/ <br />` I Contract Price of Work Propos d Use of Buildiug <br /> '. . /�3/� �2.fol�-�ti lv4"! � <br /> ;a' . ' project Address —� <br /> Description of Work to Be Done: �(�Z,���1v ��7I �� �,�' �Q�aoy,? �{— (�,n,�jZ� <br /> ' j �� <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCAT'ONAI., INSTITUTIONAL OR <br /> HEALTH CARE FP.CILTTIES BE APPROVED BY T.T-IE STATE OF WA9HINGTON. APPLICANTS WTTT3 SUCH JOBS <br /> MUST SHOW TfiE S'IATE APPROVED PLANS BEFORE CITY OF EVERET YERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQJIRED TO BE IN METALLIC RACEW.4YS (MC AAID AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HnREBY CERTIFY THAT I HA\'E READ AND F,XAMINED THIS APPLICATION P Nll KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINA,*10ES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. TI�E GRAN'I'?NG OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE F'ROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> , REGULATTNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTAURIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLX WITH <br /> TfIE STATE C�NTRACfORS LAW 18.27 RCW ANP. 296.200 WAC. <br /> X ` <br /> �'��.l�i2� �CSt;Y a.— � � —`>'`f" Fce . S D _ <br /> Signa:ur Dat� <br /> � ' �� <br /> �V� <br /> °'=�°PP(3!5/93� <br /> i <br />