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�_ -- <br /> APPLICATION FOR �LECTRICAL PERMIT <br /> C1TY OF EVERETT <br /> BUILDING DNISION <br /> 3200 CEDAR STREET � <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> �A�/f4oitlD /�n/.��RS��A/ /-f/n DHKcS �VL-.C�7T l�n 5"�2 c / �/,�2 -32�1 <br /> Owner Mai; Address City State/Zip Phone <br /> //l/ �-t�,r�,C3/ieD ��cRErT !dA 9d'7-o/ _ <br /> Tenant Mail Address Ciry State/Zip Phone <br /> G!f/,t/E,� - - <br /> Elutrical Contractor Mail Address City State/Zip Phone State License No. <br /> �t//�J GA,e�G-� <br /> Con ract Price of Work Proposed Use of Building <br /> //// �-UN�A.P9 G✓L��Zc-;i T <br /> Project Address � <br /> Description of Work to Be Done: G�O.t�STk'ua% i(�L/'�/�c1 t=LJ�A/T G A ,C'y �i�= `�.2 <br /> S<<BL/i ;rr D �L'U3,t�S . <br /> NOTE:WAC 290-46-140 REQ[JIR$S THAT PLANS FOR ELECTitICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CAAE FACILITIES BE APPROVED BY THE STATE OF WASHINGTOIJ. APPLICANTS WI1'H SUCH JOBS <br /> MUST SHO�:THE STATE APPRO'JED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> i10T RACEWAYS). <br /> I AEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 HEREIN OR NOT. THE GRANTWG OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF 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 WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X 7/.�--� �� (c�1 3�- ,-9 � F� <br /> Signaturo Date <br /> ckca,p(!/5/0�.. <br />