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APPLICATION I'OR �LECT?2ICAL P�RMIT , <br /> crrY or EVE�Tr I <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br />� EVERETT, WA 98201 <br /> 259-8810 <br /> '����vA�� cc:,z� �_e� �Z,_ 3oiy i=vc?c:zr w�- �g,�o� .�y7-7VS'-1 <br /> Owncr � Mail Address City State/Zip Phonc <br /> Ten:u�t - - � � Mail Address City Stale/Zip Phone <br /> 'C�AaS/LUZ czcz. P o .�7. Ga� t L`/NN\UGcs� L..��: Q �i:�3� �,3�jdS4�1 'j—hY47CS ';ic�1 <br /> Electricaf Contractor T;ail Address City Slate/Zip Phone State License No. <br /> cq� <br /> �1 ba� s rZ. <br /> Contract Price of Work Proposed Use of Building <br /> �`��O CoLV M3z�A . L��"�tT� <br /> Project AdJress <br /> i <br /> Descriptiou of Work to Be Done: ,�C3�R U/(-� `U�. N C-W C-c�.�.�ST, j U OC`. y'1 <br /> NOTE:WAC 296-46-140 REQUIFLES THAT PLANS FOR ELECTRI�AL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WIiH SUCH JOBS <br /> MUST SHOW THE STATE APPROVLD PLANS BEFORE CITY OF EVERET PERMIT\yILL BL ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO HE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7'HIS TYPE OF WORK WILL IIE <br /> COMPLETED WITH WHETHL-R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PL-RMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHSR STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PLRFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORIi FOR\VHICH APPLICATION IS T4ADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LA�V 15.27 RCW AND 296.200�VAC. <br /> � , <br /> � - � C i � <br /> �. �--- '-�=�`� �,� I ' '� _ ) _ _ Fee; <br /> ��Signaturc `� �� Datc <br /> i �/ <br /> i � G' <br /> � i <br /> dccaPr C/5�?3) <br />