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APPLICATION FOR ELECTRICAL PERMIT <br />cm oF svEt�-r <br />HUII,DING DMSION <br />3200 CEDAR 51REET <br />EVERETC, WA 98201 <br />P�..'^1S� <br />� <br />259-8810 <br />Phone <br />�uC9tETT /�Si�VG ����tY <br />Twnnt • � � � M5i1 Address � � .. � . City SlatdZip � - Phone <br />- �'Assr� s iz736 <br />MASTi54<,PA'fT ELEer�f�� io BoX �/YL ii'i/1Ft�FiuY� LJx� .�91�5'3 827-7i�b <br />Elxtrical CoolracWr Mail Addrcss City SIaWZip Phone Slate licease No. <br />`f77'j yiTS <br />Contnct Price of Work Proposed Um of Building <br />122(o FI� Sr. aa�b� ��`� <br />Projwt Addmss � <br />Damptim of Work to Be Doue: .vL-n-+ FE�£-PSPS Tc Su�3 /�ANE� 5 <br />AP9�E �L-vicr'S r c/6N•r Fixrc,REc ..vSa/J CiR -T� •�c.A.�rAcE� <br />+' �fa.�i'�*r. �ne RFcEPs. <br />NOI'E: WAC 296-06-140 REQUIRES THAT PLANS FOR ELECT[iICAL WORK AT EDUCATIONAL, INS1T1'UTIONAI.OR � <br />HEALTH CARE FACIIITIES BE APPROVED BY�THE�STATE OF WASFIINGTON. APPLICANfS WITfI SUCH JOBS � <br />MUST SHOW THE STATE APPROVED PLANS BEFORE C11'Y OF EVEREI' PERhtIT WII.I. BE 7SSiJED. � ' <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED'IO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOTRACEWAYS). <br />I FTEREBY CER17F � THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT, pLL PROVISIONS OF LAWS AND ORDINANCES GOVERNAIG TFIIS 1'YPE OF WORK WII.I. BE <br />COMPLETED WITH WHSI'HER SPECIFIED HEREIN OR NO'C. THE GRAN[TNG OF A PERMTf DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAYB OR LOCAL LAW <br />REGULATTNG CONS7RUCITON OR THE PERFORMANCE OF CON5IRUCITON. TFIAT I AM AUTHORIZED BY THE <br />OWNER OF 7'HIS PROPERTY TO PERFORM THE WORK FOR WHICH APPL[CATION 15 MADE AND I COMPLY W1TH <br />TI�IE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />�X / <br />'7 "' 3-zS-r3 Fce U3.4S <br />'_nature � Date <br />I� <br />d«.vv �n�sa: <br />