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,..i. ' <br /> - APPLICATION FOR ELECTRICAL P�RMIT <br /> CITY OF EVERET' <br /> HiJILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 259-8810 <br /> 355-04l00 <br /> BROCK M. �A�ICH 109Z� NINY9q5 SUIT� A EU�R�TT WA 9 �d1.0`1 <br /> Owner Mail Address City State/Zip Phone <br /> •� DtiAN W� PLAGMANN �6A AJTD 0EE THHRE IL17 S2ns SLCE EUkRETT WA 54703 IS2-/D13 � <br /> Teaant Mail Address City State/Zip Phone <br /> OWN6l2 <br /> Electcical ContracWr Mail Address City State/Zip Phone Smte Licwse No. <br /> � � CGMMf2L1AL LAUTDMO1lUE PAINT CNIP RlPAIk) <br /> � Cantract Pr�ce of Work Proposed Uu of Building <br /> � �re rern wa-f . <br /> � � 105L4 HU/Y�7S ^G" tVLYEIT WA Y820Y <br /> Projxt Address ' <br /> , DescriptiOnOfWotktoBeDOne: WIR! F02COMMt'F-LIAL 3USIN�SS USI�1G %z" LON��IrAN11 2G0+4MD <br /> SERUI C6. <br /> NOTE:WAC 296-46-140 REQUIRES TH?.T PLANS FOR ELECIRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY Tf� STATE OF WASHII`1GTOI+I. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW TEIE STATE APPROVED PLANS BEFORE C1TY OF EVERET PERT�IIT WILL BE ISSUEA <br /> NOTE:WJRING W NON-DWELLWGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I FiHREBY CER'1TFY THAT I HAVE READ N�ID EXAMINED THIS APPLICATION AI�TD KNOW Tf�SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLEI'ED WTfH WE3ETFIER SPECIFIED F�REII'1 OR NOT. THE GRANTiNG OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTAORITY TO VI�LATE OR CANCEL THE PROVISIONS OF ANY OTf�R STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS'fRUC1ION. THAT I AM AUTHORIZED BY Tf� <br /> OWNER OF THIS PROPERTY TO PERFORM THE�YORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 W . <br /> /� <br /> /lf � � / <br /> " .i" ' / 93 Fu �-�D <br /> Signatur � ate <br /> - ���?o <br /> elecapp(!/5197J <br />