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CITY OF EVrRcTT <br />3UILDING DIVISION <br />3?00 CEDAR STREET <br />EVERETT, V�A 98201 <br />Ai'PLICATION rOR �L�CTRICAL P�I�IIT <br />��,�.��'rl" !'�2�)% � <br />O�.vner Mail Address Ciry Statc/Zip <br />Tcoaot <br />� <br />l� P-��lti � <br />Mail Address <br />Llectrical Contractor Mail Address <br />�S ��� <br />Contract Price of Work <br />N� <br />City <br />I %D� � /�G�'o'/'��4 11/ , <br />� <br />� <br />� <br />Phone <br />Yhone <br />5l lp,zEt� � pk'L <br />U/� <br />City State/Zip Phone State License No. <br />��e�ii � <br />Proposed Use of Buildinb <br />Project Address . / <br />Descriptioo of Work to Be Done: S� � ��'��� C����N�l l�ft� 4 <br />� l N INiU� i✓PC�✓ << <GNs <br />NOTE: WAC 29G-46-140 REQUIRES THAT YLANS FO'�2 ELECTRICAL WORK AT EDUCATIO�'AL, INSTITUTIONAL OR <br />HEALTH CARL FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOPS <br />MUST SHOW TIIE STATi APPROVED PLANS BEFORL CITY OF EVERET PERMIT WILL BE ISSUED. . <br />NOTE: \i'IRING IN NON-DWELLiNGS IS REQUIRED TO BE IN ML-TALLIC RACEWAYS (MC AND .4C, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TIiIS APPLICATION AIv`D K.^IOW THE SAME TO BE TRUE <br />AND CORRLCT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED W]TH WHETHER SPECIFIL-D HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNF nUTHORiTY TO VIOLA7'E OR CANr_EL TIIE YROVI�fONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCL OF CQNS7'RUCTION. TFIAT I Ahi AUTHORIZE•D BY THE <br />OWNER OF THIS PROPERTY TO PiRFORM THE WORK FOR WHICH AI'PLICATION IS MADE AND I COMPLY W1TH <br />THE 51'ATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� ~ � � � /�j���� — r � � -� �> l„ ,�_- <br />: <br />�,, <br />� � ��i , � v // . � �; � � r�� <br />Signature <br />Date <br />�n� <br />��'], ' i ., <br />ciccapp �3I5/9J) <br />