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APPLICATIG�N FOR ELECTRICAL PERMIT <br /> CIT]'OF EVERETI' <br /> BUfI.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERE'I7', WA 98201 r--� � / <br /> � `� <br /> 25�J-8810 <br /> CDe30F�iC., wtt�5 b2U� - ��MM�.,�cyxt �V�= 1,�J <br /> Owner MailAddress ����� "—� 9� �y6—S�ZZ <br /> C�ty State/Zip Phone <br /> Tenant Mail Address <br /> City State/Zip <br /> P6one <br /> (ea."ae+��_ �c�,� fu• 53s�-1o�LS� �,c.A'��€. I.t/!1 �'�uS / <br /> r.iutncaf Contractor Ma�l Address b�� ���� ��mUtl�fY� <br /> c� C'�Y State/Zip Phone State License No. <br /> � l, l(�0 . S�'l�- <br /> Contract Pnce of Work <br /> �wr �U���G,� Proposed Use of Building <br /> � �. <br /> Project Address <br /> Description of Work to Be Done: iA�(b,%�Y' �S'��.� �5r 2,, ,� <br /> '��a�, PAu.�. ��.,n A 2cx�,q,..,v �✓k�....1 _ <br /> A-�� �v�r�cr R�sF..2 As t..,� c. <br /> NOTE:WAC 296-46-140 REQpIF�g '�AT PLANS FOR ELECTRICAL Wp�( AT EDUCATIONAL, INSTIT[JTJONAL OR <br /> HEALTH CqR� FACILIT'[ES BE APPROVED BY THE STATE OF WASHINGTON. APpLICANTS WIT'H SUCH JOBS <br /> MUST SHOW THE STATE AppROVED PLANS BEFORE CTI'y OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REpUIRED TO BE IN METALLIC RqCEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THqT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECZ', qLL PROVISIONS OF LAWS AND ORDIN,�WCES GOVERNING THIS TYPE OF WORK WILL HE <br /> COMPLETED WITH WHHTHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> 7'O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORM,4NCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPHRTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COA4pLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> Zl� ,� <br /> Si ture F� <br /> Date �— <br /> /�j �y'4� <br /> clecopp(+/S19; <br />