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APPLICATION FOR ELECTRICAL PERMIT <br /> CIT'Y OF EVERETI' <br /> BUII.DWG DIVISION � <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-88Y0 <br /> -�„ / _ � <br /> .;%�C. ��f;.SCC�(',�.'�_.� C% L c� � � ✓e,c�j,�e���r i=/ l�G" �=/'�!l ,.,,�>t <br /> Owner Mail Address / � City State/Zip Phone <br /> j , < <br /> I�iI. ,c� �.5 /���'✓/�_ <br /> Tenant Matl Address . City State/Zip Phone <br /> (7c13 '._ ��z Sc . <br /> ��' — , �( <br /> L'7C<r+�=i).r-. �_ �F.L-�I/��i-' �-/ .�L'�°Vi CLS-5 .1r,.2.f�1.11�� !!:�.�r �.�Jl� ���U���:7> �:1 y.5 ��U.a;ZJSS2.S'4��_ <br /> Electrical Contractor Mail Address City State/Zip Phone State License No. <br /> Contract Price of Work <br /> Proposed Use of Bu�lding <br /> C% <br /> c; C�,� S ��_ �i,����;�c�t�-;�-� l�,�' �i <br /> Pro�ect Address / <br /> Description of Work to Be Done• ��i����r� ;��;.t% � � f;�r�,��, <- ��'����, ,��� �'�,J� <br /> _ �. . � <br /> � ✓ / ii <br /> NOTE:WAC 296-46-140 REQUIItES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIUNAL, INSTITUTIONAL OR <br /> HEALTH CARE FACII.TTIES BE APPROVED BY THE STATE OF WASHWGTON. APPLICANTS W1TI3 SUCH JOBS <br /> MUST SHOW T'f�STATE APPROVED PLANS BEFORE CTI'Y OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-D\VELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (M,C AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED VVITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUML <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL TAE PA.OVISIONS OP ANY :,THER STATE OR LJCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE GF CONSTRUCTION. THAT I AM AUTHORI'LED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS 1QADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.,r29 RCN AND 296.200 WAC. <br /> i /: <br /> X , ,� �� . ;� , - <br /> i; i' . '; � ,a �f���'� ` - � i � >n <br /> Fee <br /> � Signature Date <br /> n <br /> ��I.S � <br /> cic<npp(7/5/93) <br /> . <br /> �' s - <br /> �; . .3,. <br /> � <br /> t �:v�;,:,. � . <br />