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APPLICATION FOR ELECTRICAL PERMIT <br /> CTfY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> ��URSr{1Nr..rnN Gl7�T /AN�en/ I11 oZ HrTnc1�£�Fi� wA�N EuS�err UA . ti'8�l 77/-Sz99 <br /> Owner Mail Address City StaWZip Phone <br /> WASN,N�toNCRen�T l/u��N 1(02 Ev9�¢�N wnh �Err G�R • �B2a� �7/-5299 <br /> � Tenant � � Mail Address City State/Zip � � Phone <br /> R,FRRh �/EvN II�C. PQ. �Cx 5269 L`1�+�►wo-er GiA . �11�Oy� 776•8835 T�yNcoSs�.3 <br /> Elatrical Contrsctor Mail Address City . State/Zip Phone State License No. <br /> s3� 43v.= ga,� � <br /> Contract Price of Work Proposed Use of Building <br /> J��0 2. EV t�GIZCKiJ �nl/q'�'1 <br /> Project Address • <br /> Description of Work to Be Done: �NSTAI.L � ��/C I LL4M/NA'R�O RlE£S1ANt�/NG ,S/GN <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WSTITUTIONAL OR <br /> HEALTH CARE FACILSTIES BE APPROVED BY THE'STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PL/�NS BEFORE CTfY OF EVERET PER1v11T WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLWGS IS REQUIREL TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICAT[ON AND KNOW TI�SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDIA�ANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHETTiER SPHCIFIED HEREIN OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL TfiE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATlNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTTON. THAT I AM AUTHORIZED BY T!� <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> TFIE STATE CONTRACfORS LAW 18.27 RCW AND 296.200 WAC. <br /> X „''f� I/ �93 F� � <br /> � ignature ��� Dat,e— <br /> i <br /> �13 a l <br /> � dttapp(lISN7) <br /> r <br />