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_ �, <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREfiT <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> Red �u nr� n S�'11 Co( �„�1�v._ �,�.rt.1f' LJa 9� 3SS 6�Z� <br /> Owner Ma�l Addn:ss J Gty Statc/Zip Phone <br /> �� � 1 —�� c � �Vtir.IJ �n a��n� <br /> Tenant Mail Addrws Ctty State/Zip Ph�ne I <br /> � 1.�.'� / <br /> Elxtnca� Contractor Ms�l Addre;s City State/Zip Phooe State License No. I� <br /> Contract Price of Wcrk Propos�Bu��d ng <br /> S'+1L_C��.11t.sg_�.�,�,� --- <br /> Project Address <br /> DGcription of Work to Be Doue: ��!0 e � �00 /'� Sf,tt/)/n <br /> NOTE:WAC 296-46-140 RF.QUIRES THAT PLANS FpR ELEGTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HLALTH CARE FACILTfIES BE APPROVED BY THE STATE OF WASffiNGTON. APPLICANTS WITH SUCH JOBS <br /> MIIST SHOW TF�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIviIT WIL,L BE ISSUED. <br /> NOTE:WIp,ING W NON-DWELLINGS IS REQUIRED TO BE IN MLT'ALLiC RACEWAYS (MC AND AC, ,4RE 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 CORR&CT, pI,L, pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETgD WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE 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 AUTHOR[ZED BY THE <br /> OWNER OF TFIIS PROPERTY TO PERPOItM Tf�WORK FOR WHICH APPLICATION IS :dADE AND I COMPLY WITH <br /> THE STATE CONIRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> r-�_3S. o0 <br /> Signature �C <br /> /��033 <br /> o�oonra n�sroJ� <br />