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t <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> HUILDING DIVISION <br /> 3200 CEDAR 57REET � � � <br /> Eveeerr.w�e�i �.,� f� Qv ���y /y�5 yo% �'�d i� �i-'S� - 7G�7� <br /> � <br /> � ���� <br /> _SAi�+�57Rv�n1 C`�,�slco �C� /90 C�I��si�Uv�s r�,� �'>>� ,i;Y-���-� <br /> Ownu Mail Add�ess City SmtdZip PAone <br /> Tenant Mail AJdress City Slale/Zip Phane <br /> f�cjlctl �L��. �r.;C, (�- /<'O/ (IiSU�, !� I %S�Z1U �rs�%S`� f it���« ittz_�l<... <br /> Elrctrial Contnc�or Mail AJdress City 54+�dZip Phone Smte License No. <br /> K � <br /> �ocv `— S�FK <br /> Conlnct Price of Work Pro�asal Uu of BuilJing <br /> /S/S F<<u!�1 <br /> ProjatAddrcss <br /> i <br /> DrscriptionofWork�o6eDone: ���U �h���, L����'�= S/- iL, <br /> NOTE:WAC 296-06-140 REQUIR6S TftAT PLANS FOR ELGCfRICAL WORK AT EDUCATIONAL,INSTITUTfONAL OR <br /> HGALTH CARE PACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH 10B5 <br /> �fUST SIaOW THE STATG APPROVED PLANS BEFORE CITY OF EVERET PER�11T WILL BE ISSUED. <br /> NOTG:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN ML•TALLIC RACGWAYS(MC AND AC, ARE CA�LES, <br /> NOT RACEWAYS). <br /> I IIERGBY CERTIFY TNAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BG TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVGRNING THIS TYPC OF WORK WILL BG <br /> COMPLGTGD WITN WHEI'HER SPECIFIED HGREIN OR NOT.THE GRANTING OF A PGR�11T DOGS NOT PRESUME <br /> TO GIVE AUTf10RITY TO VIOLATE OR CANC[L THE PROVISIONS OF ANY OTHC•R STATE OR LOCAL LAW <br /> RGGULATING CONSTRULTION OR THE PERFORMANCE OF CONSTRUCf10N. TNAT 1 AM AUTHORIZED BY THE <br /> OWN[:OF THIS PROPGRTY TO PERFORM THE WORK FOR Wfi1CH AI`PLICA7'ION IS A1ADti AND 1 COMPLY WITH <br /> THG S fATE CONTRACf'ORS LAW 18.27 RCW AND 296.200 WqC. <br /> � �; <br /> R J( �i � <br /> � l�ll �1/�-ti„ l�—� 3-�u -5 � F� <br /> Signelurc Dale <br /> � <br /> �`�1 ��' �_> <br /> daeq�p 0/yu 1) <br />