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APPLICATION FOR EL�CTRICAL PE}.:IVIIi' <br /> CCIY OF EVERETf <br /> BUILDING DIVISION <br /> 320U CEDAR STREET <br /> EVERETT, W.4 98201 259-8810 <br /> ��'�'S� <br /> �1�7'-j�f�?T� <br /> ��g.�i� lv�� 5,E ���it� i.�k�- L'�,��tt' 61,� �1' �:�l_7,� �3�s��s <br /> Owner Mail Address Ciry State/Z�p Phone <br /> �w� <br /> Tenant Mail Address City State/Zip P6one <br /> Itrn����rG�r�� Y,� ��,� -;°i�v e�� .!,�-.� y'�r/� s�.��y�� f���-.�r/.�F <br /> Elutrical Contracror Mail Address City State/Zip Phooe State License No. <br /> . /7 <br /> �J(J�� �''L/'�'.� — ( f9t� 1v1(�'�IGi4C� <br /> Contract Price of Work Proposed Use of Building <br /> ti��'7 Si� ' '�,�/4LL :JG'-��' <br /> Projuc Address <br /> Descrip[ioo of Work to Be Done: <br /> • t � � �B�✓ /l� � /� c:cjSS�'a � f-scTu2�S � <br /> h/ f-'G�x�s�.� ,�,r� �i xrun..�-s /C� 6uTG L'S-S �lSu��r���-c.—c <br /> NOTE:WAC 296�6-140 REQUIFtES THAT PLANS FOR ELECTRIC.4L WORK AT EDUCAT[ONAL, INSTITUTION.4L OR <br /> HEALTH CARE FP.CILTTIES BE APPROVED BY THE ST.4TE OF WASHINGTON. APPLICr1DfT5 WITH SUCH 70BS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRLD TO BE IN METALLIC RACEWAYS (MC AND AC, ARE C�3LE5, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AYPLiCATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIOI�'S OF LAWS AND ORDINANCES GOVERNING THIS 7'YPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED ?-IEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORiTY TO VIOLATE OR CANCEL THE PROVISIONS GF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTI��N OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM 7'HE WORK FOR WHICH APPLICATION IS MADE AND I C01�1YLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � <br /> Y C�' 3-�� �S F��� sv <br /> Signat r� � Date <br /> �I��,:( I <br /> I <br /> clecnPp 0/c;o7�. <br />