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'��' '�' <br /> APPLICATION FOR �LECTRICAL PERMIT <br /> CIT'P OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> /Jf0 L� /C <br /> --�i m L'�x r s /'e.vsT I "� S ' !'7/ � ,�� S�' �n��e �/ G��F S$o/L a�'s-�t.s <br /> Owner Mail Address City State/Zip Phone <br /> 1'enant Mail Address City State/Zip Phone <br /> �mo�c�� c��/c��i�cT✓c �o (3o�C Q�Yd�7�rYS1)c�le W,4- �z7� 6���c1� Snc�re� R_ <br /> Electrical Contractor Mail Address City Sta e/Zip Phone State License No. <br /> 3,DdD S �Q <br /> Contract Price of Work Proposed Use of Building <br /> ��3a� �,��ri� L✓-�h-i <br /> Projcet Addresx <br /> Description of Work to Be Done: �le�Ti�c.l/ ^ � _�LCI �GZ�0 . ���� <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CTTY OF EVERET PERMIT WILL BE 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 BE TRUE <br /> AND CORREC'1'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE 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 AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X�lIG'�� h�'��_ �/� /s'�� F� �5 � <br /> � <br /> �� Sianature � Date <br /> clecnpp(!/S/97? <br />