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APPLICATION TOR�L�CTRICAL P�RMIT <br /> 'i�?�`� <br /> crn�or Evet�rr � <br /> ➢UILDING DIVISION <br /> 3200 CL•DAR STREET <br /> L-VEREIT,WA 98201 <br /> 259•8810 <br /> �fmav� <br /> �A.�v� <br /> ri/� �i/D/J�C�si2--�i�� 3 o3-I/ 7 9� s-v' ��v-�-��� �ti 3�»� i,� <br /> Owncr Mail Address City SlatdZip Phona <br /> Tenant � �- � Mail Address . City SUte/Zip Phone <br /> l2f.i � <-i� <br /> LIe:M�I Contractor Mail Addrrss City State/Zip P6onc State Liunse No. <br /> �//Jil W _ �� �. <br /> Contract Price of Work Proposed Use of IIuildiug <br /> �//7 eL.n.r� /�A-,ccf <br /> Pmject Addrcss , <br /> Ducription of Work to He Done:_n� > c (//L�i_=h ��C79-/J <br /> � NO'iE:\4AC 296-06-140 REQUIRES THAT PLANS FOR ELEL7RICAL WORK AT EDUCA7'fONAL, INSTPfUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATL OF WASHINGTON. APPLICANTS WITH SUCH lODS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PE•RMIT K7LL BL ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIREU TO AE IH METALUC RACF.WAYS (MC AIQD AC, ARE CABLES, <br /> NOT RqCGWAYS). <br /> I HPREIIY CERTIFY THAT I HAVE REhD AND EXAMINED 7'HIS APPLICATION AND KNOW THE SAME YO BE TRU6 <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7H1S TYYE OF NORK WILL I3G <br /> CODiPLL•TLD WITH WHETHLR SPECIFILD HEREiN OR NOT. 7HE GRANI'ING OF A PERMIT DOLS NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH8 PROVISIONS OF ANY OTfdER STATE OR LOCAL LAW <br /> RLGOLATING CONSIRUCI'ION OR Tf9E PLRFORMANCE OF CONSTRUCI']ON. THAT I Mi AUTHORIZED BY 77iE <br /> OWNGR OF THIS PROPERTY TO PERFORM THE WORR FOR WHiCH APPL[CATION IS hfADE AND I COMPLY WiTH <br /> THE STATG CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> F��l��-v�.i'� � ��:�-%-�'_ r� � �°� _ <br /> Sisnalurc Date <br /> aiecnpp(]IS/9]) <br />