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�,�a� � s <br /> APPLICATION FOR ELECTRICAL FERNIIT <br /> C1TY OF EVERETT � <br /> BUB.DING DMSION �1i � • <br /> 3200 CEDAR STREET � <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> �f�NG �£.12c ll �2��1"� � �hlu�J Il1a� Evcra� lJ L j._�� (.IJA ��0�0'-{ <br /> Owner Mail Address City � StatF/Zip Phone <br /> `- � ' � ,� <br /> Tenant Ma�(Address . City State/Zip • Phone <br /> � ���)�35-�SOS <br /> vECA �L i 21 C �h ���x 3aV� �Ilevu�. (n�l°�5aooy_3a�1� V�cAsc zsyamu <br /> Elxt[ical Contractor Ma� Address , Ciry StatelZip Phone State License No. . <br /> � S� lo�cl _ 1��;Y�� n� ��i G ��A Cf <br /> Contract Price of Work Proposed Use of ilding �� <br /> 111a.`7 4vs �z a��.�ti t,Jy <br /> Pro�ect Address . <br /> I � <br /> Descriptiou of Work to Be Done. �VI S�-11LV �ow V n���}� � �t'Y� S <br /> � v �,-4-r�,�,�, . <br /> NOTE:WAC 296-46-140�REQUIRES THAT PLANS FOR ELECTRICAI,WORK AT EDUCATIONAL, INSTTTU7TONAL OR <br /> FiEALTH CARE FACII,ITIES BE APPROVED BY'THE'STATE OF WASHINGTON. APPLICANPS WTI'H SUCH JOBS : <br /> MUST SHOW TFIE STATE ARPROVED PLANS BEFORE CPfP OF EVERET PERivI1T WII;I,BE ISSUED. <br /> NOTE:WgtWG IN NON-DWELLINGS IS REQLTIIZED TO BE IN MET'ALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). _ <br /> I HEREBy CERT�Y THAT I HAVE READ AND EXAAfWED THIS APPLICATION AND KNOW TE�SAME TO BE TRUE <br /> AND CORRECT, AI,I, pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,I, BE <br /> COMPLET'ED W1TH WI�TFIER SPECIFIED IiEREW OR NOT. THE GRANfING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTFIER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCITON. THAT I AM AUTHORIZED BY Tf� <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> Tf�STATE CONTRACT'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> . _ � � �'r/,,,�, F� � 3� _ <br /> S�gnaturo � Date <br /> ✓� • <br /> .i....,.,n�vo�� <br />