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CITY OF EVERETT <br />BUILDING DMSIQN <br />3200 CEDAR STRcET <br />EVERETI', WA 9E201 <br />C���c <br />Owner <br />Tenant <br />A.PPLICATION FOR ELECTRICAL PE�.bIIT <br />I���C�tc. ��Z� 1r�� <br />Mail Address <br />�v ��aNlc l�vi , <br />Mail Address . <br />i i�n , ;��-�-�-z_� <br />Wf> `7 �"k� ( <br />Ciry State/Zip <br />���'f( a�.r c.,)� <br />259-8810 <br />Phone <br />City State/Zip Phone <br />ii.^Y� 7�39ri�=',...> <br />��c� c Sr�l t� I� c� �s&�l f(�(ti'r�-�ti' ,�2n ��r�ti�� ��� A%R zZ� F�;��TS�I,. Uf . <br />Electrical Contractor Mail Address City State/Zip Phone Statr, Licen:e No. <br />�� �/`�� � �� — <br />Contract Price of Work Proposed Use of Building <br />�� .CU�-�=_'c77 r�i�_L W���/ <br />Project Address � <br />Description of Work to $e Done: _ i(V�7�� L-C - Z— ��( r� N� <br />NOi'E: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH C:ARE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW Tf� STAT'E APPROVED PLANS BEFORE CTTY OF EVERET PER1v1IT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS RHQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT R9CEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXE+IvIINED TffiS APPLICATTON AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDIN.^.I�'CES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AU'I'HORITY TO VIOLATE OR CANCEL THE PROVISIONS UF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WI-IICH APPLICATION IS MADE AND I COMPLY VJITH <br />THE S'FATE CONT3ACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signa[ure <br />�__ <br />,� <br />`1/l `I/'7 <br />elecnpP (3:5/97) <br />