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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT' <br /> BUILDING DNISION <br /> 3200 CEDAR STREET <br /> E��TT, WA 98201 <br /> 259-88f0 <br /> �a-R`' � .� ,�-1 �ys�,/�, cI � ;,272 2 FoR,es7 Yr�ct�.�rv� • �vazr-rT��/'�•b3 <br /> Owner Mai1 Address � <br /> C�ty Stae/Z�p �0�,3 P6one <br /> 5� � � <br /> ( � -��l9 <br /> TO°°°� Metl Address . Cit <br /> Y State/Zip Phone <br /> _lJ�J/�'l� <br /> Elxtrical Contrector Mail Address City State/Zi Phone <br /> p State License No. <br /> � <br /> �� �'>/ D ��flril�' <br /> Contract Price of Work Proposed Use of Bwldmg <br /> �7� /'t�r�+ �le°v �,)C" <br /> Projxt Address <br /> Descriptian of Work to Be Done:�/�G 2�D� 5� E?(ll C � �` �'�� e`! J?/ C /{Z �R Nes G. <br /> N�� � � Rc o I l� R�f�K rF� S <br /> NOTE:IVAC 296-46-140 RBQiJIREg T'gAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU'IZONAL OR <br /> HEALTH CARE FACILITIES gg pppROVED BY THE STATE OF WASHWGTON. APPLICANI'S W� SUCH JOBS <br /> MUST SHOW'I'FIE STATE APpROVED PLANS BEFORE C1TY OF EVERET PERIvIIT W[LL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPI.ICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRHC'I', q1,[, pROVISIONS OF LAWS AND ORDINANCEti GOVEiWING THIS TYPE OF WORK WIL[. BE <br /> COMPLE'fED W1'I'g WHE�'[;gR SPECIFIED HEREIN OR NOT. THE GRANTlNG OF A PERMIT DOES NOT PRES[IME <br /> TO GNE AUTHpR]'I'y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCqL LqW <br /> REGULATfNG CONSTRUCfION OR THE PERFORMANCE OF CON:�TRUCfION. THAT I AM qUTHpgIZgD BY THH <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICI;APpLICATION IS MADE AND I COMPLY WTI'H <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X__�� �'�s��,a-e � � F� 2,S <br /> Signaturo �f Dat� � / <br /> �3�53 <br /> cieceFr(jlslo)) <br />