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APPI,ICATION FOR ELr,CTRICAT� P�RI�IIT <br />CITY OF EVEF.ETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />BVERETT, WA 98201 <br />l�az sF. �vr-/ztir i�7A�. u,�}r <br />E <br />259-8810 <br />�I�EiQ-�%% Ml��-i/ ,E.✓�/°�T u?�-� 98202 .3JS-6Yii <br />Owner Mail Address City :itate/7.ip Phone <br />�c lr7F-� <br />B��a Foor eA20 s� co�ti�s c�-,�F �+S A� ��> s 3 s� _ s�s�3�v- <br />Tenant Mail Address Ciry State/Zip Yhone <br />jHv2E�1�t/C .S/GN //✓C, /703� A/�'�a�2aC �(/, �A� lc�Q, 1��33 SL/Z-8%3� SHo,F.�s/2o�� <br />Elcelrical Contractor Mail Address City Stal�/Zip Phoae State License No. <br />�� � <br />Contract Price of Work Proposul Use of Building <br />�(/�P, _G� l�Al.L <br />Projer.t Address <br />Aescriptiou of Work to Be Done: �!/NNE���' /�E�N /.f/l�LC, s�(9� _._ <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELL'CTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE C1TY OP EVERET PERIviIT WILL RE ISSUED. <br />NOTE: WIRING IN NON-DWfiLLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAFtLES, <br />NOT RACEWAYS). <br />I AEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDiNANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HERE[N OR NOT. THE GRAN'I'ING OF n PERMIT DOES NOT PRESUME <br />TO GIV� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY 07'HER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE YERFORMANCE OF CONS7'RUCI'ION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPI.ICATION IS MADE AND I COMYLY WITH <br />THE STATL• CONTRAC'I'ORS LAW 18.27 RCW AND 296.200 WAC. <br />Signalure <br />Fee � ��i' � <br />d«orr �isi9�. <br />