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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUII.DING DMSION C��� ��y�� <br /> 3200 CEDAR STREET <br /> EVERETT� WA 98201 Q��,,./ ����_ I�I `l� �APS�I� �G�� <br /> // ���") ( 259-88Y0 <br /> !8D/�- <br /> I v�:�z« �-c Cdns f ��a��(l�'�'INLS lC��l�%�el ��i� ��d 3 3 � <br /> Owner Mai] Address City State/Zip Phuae <br /> Tenaut � �_ � Mail Address , City State/Zip � Phone <br /> /�adFvrd L�lecfi�i� 23�i3 7���<�J �ar�P�� GJ� y�Dzl� 3�s91G3 �4�"ogci�i�P <br /> Electrical Contractor Mail Address City State/Zip Phone State Licwse No. <br /> � � �OGL'J. Gn� S' � ��S <br /> Contract Price of Work Propos�d Use of Building <br /> /�09- �r�� l�rd 1� r�`�e <br /> P�a��c naa« . <br /> Description of Work to Be Done: [,/� /P /1C/�t� S � �LJP��/� � (�I I`� Z x 2dc;l �vyt � <br /> Se d✓� �- . 9 G�S 4,)�i� S . � G�f�� CU� (�Ctit�2.� _ <br /> NOTE:WAC 296-46-140�REQUIItES THAT PLANS FOR ELECT'RICAL WORK AT EDUCATIONAI., INSTIT[PSIONAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY'Tf� STATE OF WASHINGTON. APPLICANTS WTl'H SUCH JOBS <br /> MUST SHOW Tf� STATE AAPROVED PL,4NS BEFORE C1TY OF EVERET PER2vIIT WII.L BE ISSUED. � �� � � <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRfiD TO BE W METALLIC RACEWAYS (MC AND AC; ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CER'I'IFY THAT I HAVE READ AND EXAMWED'i'HIS APPLICATION AND KNOW TFIE SAMfi TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED WIT'H �TF�R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OT'f�R STATE OR LOCAL LAW <br /> REGULATING CONSTRUCITON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY Tf� <br /> OWNER OF THIS PROPERTY TO PERFORM TIIE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'TH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � " �'� �� � � 3 F�.�— <br /> Signature , � Date <br /> �v/l�y <br /> elecnPP C�/Sl9J) <br />