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CITY OF EVEItETT <br />EUILDING DIVISION <br />3200 CEDAR STitEET <br />E��TT. WA 9R201 <br />%�/� r � � �_ � <br />Owner <br />� <br />� <br />A.PPLICATION FOR ELECTRLCAL PERMIT <br />!' -e-��'�' J <br />Mai] Add • <br />� p v � r7 ; _ � /l ��%� <br />_. / �lD �-� <br />2E9-F910 <br />ces., <br />9z o o d h,rDfiU� fh c j 1'f� ��,,a� s�`��zp Phone <br />�R14h1' �r f S n; /w R�-�i�. fihTS W�zT/} _c��SL.. .. (c� , (� <br />Tenant Mail Address `�/.�// `{-�'�; �� �-�/ ( Z <br />Ciry State/Zip , Phone <br />/'i�1 ��1�UTV �—v�c:T2.l L <br />Elutrical Contractor Mai! Address <br />a_"= <br />--'3 � 6 Z <br />Cor,trac[ rnce ot Work <br />Project Address <br />Description of Work m Be Done: <br />City State/ZiP PLone <br />Geis�T �r-. r c,� <br />Proposed Use of Building <br />r 1�- yyb <br />C�7 <br />. .— � <br />State Licensc No. <br />NOTE: WAC 296-46-140 REQUIRgS'iIiA,T PLANS FOR ELECI'RICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br />�ALTfi CARE FACII.ITIES gg qppROVED BY THE STATE OF WASHINGTON. APPLICANTS WI1'H SUCH JOBS <br />MUST SHOW THE STATE APpROVED PLANS BEFORE CITY OF EVERET PERI�+IIT WTLL BE ISSUED. <br />N�TB: WIRING IN NON-DWELLINGS IS REQLJIREp TO BE IN METALLIC RACEWAYS (1v1C .�JD AC, ARE CABLES, <br />NOT RACEWqyS). <br />I FiEREBY CERTIFY THAT I HAVE FiEAD qND EXAMINED THIS APPLICATION AND KNOW THfi SAME TO BE TRUE <br />AND CORRECT, qLL pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYYE OF WORK WII.,L BE <br />COMPLETED WITH WggTgER SPECIFIED HLREIN OR NOT. TFiE GRANfWG OF A PERM11' DOES NOT PRESiTME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LqW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TFIIS PROPERTY TO PERFORM T'HE WORK FOR WI-IICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRpCT'pRS LAW 18.27 RCW AND 296.200 WAC. <br />/-��/J`� f / <br />ciccnFp (3/5/97) <br />