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i <br /> APPLICATION FOR �LECTRICAL PERMIT <br /> CIT'1'OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-88f0 <br /> � <br /> 'C lc ,-�c�u cZrl,t�j-vm /2� w. cc�,h Pscyr� � ��fii� ll l� � 9 8o/z <br /> Owner � Mail Address City State/Zip Phone <br /> Tenant � Mail Address Ciry State/Zip Phone <br /> 777-�/�-/�� <br /> /1�cJCo-,�,rn�n�ca�c�,st��4-r�� �U ��i'x �L77 �ic�ti��vec� �JA �7'8U3� /Juko/aA.ZI/vDz- <br /> Elutrical ContracWr Mail Addre;s City tate/7,ip Phone State Licenu No. <br /> / ��Jo �'e.,c�,� �z/ <br /> Contract Price of Work Proposed Use of Building <br /> /Ca � y G.GZ� �(S-,+�lC "VL . <br /> Project Address � <br /> Description of Work to Be Done: ���Lt�,e � �l �e��'�^'' h-- S ?t��,ti� /��2 t� d�ic� c <br /> L�.� i��/fz P �.-, — <br /> � <br /> NOTE:WAC 296-46-140 REQUIRES TTiAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL. INSTITUTIONAI,OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATF OF WASHING'I'ON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CTTY OF EVEKET PERIvfIT WII.L BE ISSUED. <br /> NOTE:WIRING IN NON-DWEL:.INGS 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 TFIE SAME TO BE TRUE <br /> AND CORREGT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEEWING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT POES 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 CONSTRUGTION. THAT I AM AUTHORIZED BY TI-IE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � `` � '� <br /> �'�� fi�e� �� � ��8/, 3 F� .� ) <br /> Signatur�� Date <br /> N U�� v 3�02� <br /> elecnpp(!/$l93) <br />