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APPLICATIO:V FOR P;I,ECTRICAL PERMIT <br /> �1�5�� <br /> CITY OF EVERETI' � <br /> BUILDING DMSION <br /> 3200 CEDAR STRfiET <br /> EVEREIT, WA 9g201 <br /> 259-8810 <br /> i <br /> rms �; ��� � o�fZs ��w� ���/ /�" ' �5 �. <br /> Owner / � ( "��/G���/ (iC/p4_ <br /> Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> C�9ii i���c���. c �(�S3- S'3�� �Eq <br /> � _� �Grz �����%s� ��ir�Pl�� qu�arZ cia.����oq�c�,9- <br /> Electrical Contractot Ma�1 Addrcss City State/Zip Phone State I,icense No. <br /> Contract Pnce of Work Propos�uil g � <br /> /09 ZS ��e���.��,� ���,,, <br /> Pro�ect Address � � y <br /> � Description of Work to Be Done: __ `�C,� /g"�'�� S/��Z�,J l�' (L �/�aG� <br /> ! <br /> /- c^i�^cu<< <br /> NOTE:WAC 296-46-140 REQL7IRgg T'HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTPI'UTTONAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY THE STATE OF WASFIINGTON. APPLICANTS WIT$ SUCH JOBS <br /> MUST SHOW Tf�STATE APpROVED PLANS BEFORE CTTY OF EVERET PERMIT WILL BE 1SSUED. <br /> NOTE;IVIRING IN NON-DVVELLINGS 7S REQUIRED TO BE IN METALLIC RACEWAYS (MC AND pC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC'I', qLL PROVISIVNS OF LAWS AND OP.DINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLET'6D R7Tg WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'I'ING OF A PERMIT DOES NOT PkESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOC/u, LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCL OF CONSTRUCTION. THAT I AM AUTHORI7.ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPi.Y WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ���� <br /> ss �r- F���- <br /> . Signature <br /> Date <br /> elecnPP C�/5/93) <br />