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f - - -- <br /> I <br />� APPLICATION FOR ELECTRICAL PERMIT <br /> Ho�''a`d�S <br /> C1TY OF EVERETI' <br /> BUILDING DMSION <br /> 3200 CEDAR STAEET <br /> EVERETt,WA 98201 <br /> 259-8810 <br /> �y�� E ,B�R,�,C� �o� ,8o,�c a�� <br /> �,8� ��i��� ,� 13,cit��� f�i�,��,�s �v���-�f.' �.v.�- 9�a�� <br /> �W Mail Address City State/ZiP Phone <br /> Tenant /�, M6i1 Address City State/ZiP Phone <br /> v -'" /U /`�"`'`f� aDd <br /> . �.�e�f.��� ��'�r���i�� �Ur� �,� �ass� <br /> Electnal Contractor Mai1 Address City State/Zip Phone Smte Liceasa No. <br /> «!1�llf�`.dOl/.�/' , ��� <br /> Contrac rice of ork` , Proposed Use of Building <br /> .�--�"� � �O.Lt/��irl <br /> Project Address <br /> Description of Work to Be Done: a/'L/ /�`/f���" `�- �� <br /> 'i <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECi'RICAL WORK AT EDUCATIONAL, INSTITUT'IONAL OR <br /> , H&ALTH CARE FACILITIES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS Wl'I'H SUCH JOBS <br /> MUST SHOW T'f�STATE APPROVED PLANS BEFORE C11'Y OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRII•IG 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 Tf�SAME TO BE TRUE <br /> AND CORREC(', pLL PROVISIONS OF LAWS AND ORDINANCES GOVEItNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTWG OF A PERMiT DOES NOT PRESUME <br /> TO GIVE AU'['HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STA1'E OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTTON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'fH <br /> THE STATE CONTRACfORS LAW 18.27 RCW AND 296.200 WAC. <br /> r �� /���'' ���� <br /> Fee <br /> Signature Dat� <br /> eleeerP�/5/9)) <br />