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APPLICATION FUR ELECTRICAL PERMIT <br /> CIT'Y OF EVERET]' <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> J /N-ev" li ( ��il�.[i( �-(�l9�-�v �.��7 �L�JG� /�/� � <br /> C�•.mer Mail Address � � [ C�ty y S e/Zip Phone <br /> �l C�LG'tClc..' �O�Gt� <br /> ,Q�0 /?� f_ �/.39-S�f'�� <br /> T=nant Mail Address <br /> City State/ZiP Phone <br /> �I� _� �- '� � �'nX ;��7��; ���i��e l,l)R 9�! �il-'���C)I�� <br /> Electncal Contrac or Mail Address City State/Zip Phoue State License No. <br /> �o? �UU . �ro � ' C� � rPll� � �(»�nv, <br /> Contract rice of Wprk Proposed Use e Bwldmg <br /> � � �� � <br /> , 7i�(/�'/fao�v� [�(/c7.lL. /Ii4' <br /> Pro�ect Address � —�� <br /> Description of Work to Be Done: � �-(i(�� ' �� G%C2�4� <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTI'PUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH IOBS <br /> MUST SHOW TIiE STAT'E APPROVED PLANS BEFORE CITY OF EVERET PERMIT V✓ILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NQT RACEVVAYS). <br /> I HEREBy CERTIFY THAT I HAVE READ AND HXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND C�RRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMPP DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTgORIZED BY THE <br /> OWNER OF THIS PROPERTY T'O PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> .�'�-� � � ���,n—� /1f-�� / -� Fee _��) `f> <br /> S�onature Date <br /> ,/_11.��� <br /> �i«orr Pisi93� <br />