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APPLICATION FOR ELECTRICAL PERMIT <br /> C1TY OF EVERETI' <br /> SUILDING DIVISION <br /> 3200 CEDAR STREBT <br /> E��TT, WA 98201 <br /> 259-8810 <br /> 1-Ft44�iY1a�o/�G�s.1'0� 8G25 /=I/ev4�ek/ Gd��/ /—dP�r/� u/� <br /> Owner Mail Address <br /> City SUte/Zip Phone <br /> J^ ' _ J �cuL'i I-r/ �(� zs 1-s/avLe�.✓ l{fy4/ / Po�/T� GcG,� <br /> Tenant Ma� Address <br /> C�ty State/Z�p Phone <br /> �,'„le S'�e (=�e�/"• I(ao2 5G �91 d4(//3dv.�/ c��- 9a'C�Z s�s�sciv �,:ue.J'ec 27�1K6' <br /> Electncal Contractor Mail Address C�ty State/Zip Phone <br /> State Licease No. <br /> -�000 `= m�F,'c� <br /> Contract Pnce of Work Proposed Use of Building <br /> glo�25 CVpvpr.r�e„/ ClJGk/ <br /> Pro�ect Addres—s' - <br /> Description of Work to Be Done: /'Q —c / `e ��r�,a -�-Q CUf- <br /> � �tvv.T S/�eC <br /> NOTE:WAC 296-46-140 REQUIRES TH,9T PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU'ITONAL OR <br /> HEAI.TH CARE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLiCANTS WITII SUCH JOBS <br /> MUST SHOW�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WII;L BE ISSUED. <br /> NOTE;WIRIT;G IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I FIEREBY CERTIFY THAT I HqyE gg,yD pND EXAMINED THIS APPLICATTON AND KNOW THE SAM&TO BE TRUE <br /> AND CORREC'I', ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WII,L BE <br /> COMPLETED WTT'[-I WI-IgTHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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. THqT I AM AUTHORIZED BY THE <br /> OWNpR OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRpCT'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � •. • <br /> /�J-�� G �Y/a ,3 <br /> Signature � � � � Fee_ ��� <br /> Date <br /> � <br /> �.� � t��:1, <br /> decupp(3/5/93) <br />