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� � <br /> APPLICATION FOR ELECTRICAL PERNIIT <br /> C1TY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 98201 259-8810 <br /> �u �!/17' �/I i�e L �(3�/ �iw�vLtPnr� > � � G�'t[ f7- � 9��.u� 3�(?-�" <br /> p�yna ail Address City State/Zip Phone <br /> ��9 <br /> Tenant � Mail Address . Ciry State/Zip • Phone <br /> • S' s� � S , ., 2 � -��Gl �=y�p ssi�rz�:P <br /> EI rical Contractor Mail Addrcss City State/Zip Phone State Licease No. <br /> S� <br /> Contract Price of Work Proposed Uu of Building <br /> Y/ C U 1 K•FnA �AA{A[1 1 � . <br /> � Projxt Address ' �/ <br /> Description of Work to Be Dona � q/1���^�+� ��f<f� � ° ` i `��"` f "`7�'` � <br /> � 'A 1 D�( 'Tq �H r�� S�c � ^ �-�ii., t <br /> NOTE:WAC 296-06-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPRO','ED BY THE STATE OF WASHINGTON. APPLICANTS WPI'H SUCH JOBS <br /> MUST SHOW TFIE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIItING 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 CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVEEWING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREW OR NOT. THE GRANTIIvG 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 CONSTAUCTION OR THE PERFORMANCE OF CONSTRUCI70N. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE SfATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> � <br /> � !����� 5�.� •f 7, �t�l F�.� <br /> , <br /> g�� Da e <br /> G' <br /> � �s�l�a <br /> elccePp(!IS/9JJ <br />