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, i' <br /> � , <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CIT1'OF EVERET'I' <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> E��TT, WA 98201 <br /> 259-8810 <br /> Owner PLo , i E��r! ' TE41H <br /> T4ai1 Address ��� e/G <br /> City . State/Zip <br /> Phone <br /> Tenant Mail Address <br />' . � � Cit, State/Zip � . <br />` Phone <br /> E'--•_--' ,. ° 2o7NN!/F i(IE E.�/EUuF /�FJ 4A �'/ ��S <br />�� uc.a� �ontractor <br /> Matl Address �r6� VF�A Fi'r cu <br /> C�ty State/ZiP Phone '���v <br /> State License No. <br />�� Contract Price of Work ��� � <br /> 1112 Proposecl ,��og, <br />� ��D�/2FF,t) ���fn <br /> I ➢ , nmress <br /> Description of Work to Be Done:���F, <br /> �20�2 s!O V / � riY1P�E,c� /���' <br /> �------_ <br /> NOTE WAC 296-46 140 R&Qljjjtg$ �AT PLANS FOR ELECTI2IC,qL,'rypju{AT EDUCATIONAL, INSi <br /> �AI-TH CARE FACIii'I'1ES BE ApPROVED BY THE STATE OF WASHINGTON. ,yppLICANTS <br /> MZJST SHOW Z'�STATE qppROVED PLANS BEFORE CITY OF EVcRE1'pEgt�,1IT W[I.L BE ISSUED. ��ONAi,OR <br /> WI1'H SUCH 70RS <br /> NOTE:WIRING JN NON-Dq�LLINGS IS ItEQUIRED TO BE IN METALLIC ?tACEWAYS (Iv1C ,qND ,SC� ,yg� C,y�� <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ qND EXAMINED THIS APPL,ICq1TON AND KT(pW T�Sy�E TO BE 7RUE <br /> AND CORREC7', qLL PROVISIONS OF LAWS rWD pRpIN,yNCES GOVERNING THIS TypE OF WOR$ <br /> COMPLETED WITg �gTHER SPECIFIED HEREW OR NOT. TIiE GRANTING OF A PERMPI' DOES NOT pRESU�g <br /> TO GNE AUTHORII'y TO VIOLATE OR CANCEL THE PROPISIONS OF ANy p'�R STATE OF LOCAL I,q�y <br /> REGULATING CONSTRUCTION OR THE PERFpI�vI,qNCE OF CONSTRTJCfION. THAT I AM AUTHORIZF, <br /> OWNER OF THIS PROPERTY TO pE]�p� T��yp�FOR WHICH Ai'PLICA'I'ION IS MADE AND I COMPLY Wp['H <br /> THE STATE CONTRqCTpRS LAW 13.27 RCW A?1D 29b.200 WAC. D BY � <br /> X , <br /> � /. <br /> .. G-f' - �C � -�c7 � � <br /> S� n�ture 7 � � %3 1'� ct, <br /> Fee J�' <br /> Date �--�. <br /> � �' <br /> 1//;3; I <br /> elecepP(j/5/97) <br />