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CITY OF EVERET'f <br />BUII.DING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />�E�- <br />Owner <br />Tenant <br />APPLI(:ATION I'OR �LECTRICAL-I'ERMIT <br />��� � G: �7/�J�C-T7 <br />Mail Address <br />Mail Address <br />JUN - !�� ; ,; ,i <br />...CITY OF c;'ERcTT <br />Publi� ;�l�,r'r;s pc��t. 259-8810 <br />� ��2�: <br />Cit SUte/Zip <br />City State/Zip <br />Phone <br />P6one <br />l�e'z— ,D�-i �a, �a�c%�� .5'�a�,c� ���i3� 2.�3•/%�— �"�r�,�2�r�/oi�,�� <br />Elr.ctrical Contrac[or Mail Address City State/Zip P6one State License DIo. <br />''� /. aa , oJ <br />Contact Price of Work <br />f�lG, c�7/oiPc�T% .f�.l7�c�._ !'�.��/ <br />Projec[ Address <br />��-�-s-7i�i�'s,JY - ��is>i�r <br />Proposed Use of Building <br />Description of Work to Be Done: /��J9/J•C� 1�3P/.��>><=- ��f� J�� ��i�-/ ��J <br />NOTE: WAC 29G-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACII,TTIES BE APPROVED IIY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLAI�IS BEFORE CTTY OF EVEREi rL•R1vIIT WILL BE ISSUED. <br />NOTE: V✓IRING 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 E�AMINED THIS APPLIC.�.TIOA' AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED fiEREIN OR NOT. THE GRANTIPIG OF A PLRMIT 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 PERFOR?�lANCE OF CONSTFUCTION. TFiAT I AM AUTHORIZED BY THE <br />OWNER OF TH]S PROPERTY TO PERFORM THE WORK FOR W?-IICH APPLICATION 1S MADE AND I COMPLY WITH <br />THE STATL• CONTRACTORS LAW 18.27 KCW AND 296.200 WAC. <br />//X , / <br />/ ��lLi�r�� Ci�. /y---- � <br />va�� <br />� <br />F� .'b. a� <br />dccnrP C3/5/97) <br />