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�!r:.__ _ .- - - - _ _.. _ <br /> ,-. -. <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CTTY OF EVERETT <br /> BUILDMG DNISION <br /> 3200 CEDAR STREET <br /> E��TT, WA 98201 <br /> 259-8810 <br /> �C�q- � �er� MF-����n �'Y1 �n�• �P�-v�e,�.�X�� [il�} °I8 � ��a a� <br /> C�ry State/Z�P Phon�Le 7 <br /> S(`,. rn,� /�5 l�,�P, � <br /> i°°�°t Mul Addreas C�ry S4tNZip . Phoae <br /> fUt,.� �A r-�-� �� Ne�T.�- �i ��, �•I,'i� o �7A G�av� ruo�r�fwr+dQ .4�i <br /> &Ixtncal Conhactor Mail Address City State/Zip Phano- S�Licease No. <br /> � I�I� a as�-s33 <br /> " Rv�,�r�nrn . <br /> Contnct Pnce of Work Proposed Uu of Building <br /> ��l^1� Tnr��►s� I , -�m�att UJA- 9R� �� � <br /> Pro�xt Address • <br /> Description of Work to Be Done: ¢ <br /> ��Il�i r�YI �n� 0� �»,h-,s p, pQ �4�. 0 � <br /> ' NOTE:WqC 296-46-140�REQUIRES 1'HpT PLANS FOR ELECTRICAL WORK AT EDUCATIONAi, INSTlTUTTONAL OR <br /> HfiALTH CAR& FACILdT[ES BE APPROVED BY T'FIE STATfi OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW TFIE STATE APpROVED PI.ANS BEFORE CITY bF EVERET'PEEtTvIIT WILL BE ISSUED. <br /> NOTE:WIR[NG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I H&REBY CERITFY THAT I HAVE READ qND EXAMINED 3'HIS APPLICATION AND KNOW THfi SAME TO B&TRUE <br /> AND CORREC►', pI,I, pROV1SIONS OF LAWS AND ORDINANCES GOVERMNG THIS TYPE OF WORK WI(,L BE <br /> COMPLE'I'ED WITH VVHETHgR 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. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WiTH <br /> THfi STATE CONTRAC('ORS LAW 18,27 gCW AMD 296.200 WqC. <br /> X <br /> . Q 1� � Fu � a-S_`` <br /> Signature , Date <br /> ; <br /> � ���� � :� <br /> J`� <br /> elc<epp(!ISl93) <br />