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APPLICATION rOR�L�CTRICAL P�RNfIT <br /> C1TY OF EVeFLL•Ti' �/ <br /> IIUILDING DPiiSION <br /> 3200 CEDAR STRF:ET <br /> L1'ERE1T,WA 9S2U1 <br /> 259-8810 <br /> T�• sii�=��s <br /> Owncr Mail Addrus City State/Zip Phone <br /> 7'enant � Mail Addres City Stale/'Lip � Phone <br /> l.s&Q��f1t�Z G.�t-S7cdr�� .�qiiis/ r�ar xo� , <br /> Eleclncal Coalraclor Mail Address City State/Zip Phone State Limnse No. <br /> .�.37(� .� �<+�.7" c�6� <br /> Controct Frice of Work Proposed Use af Ri:ilding <br /> c� 232 9 �n.vn I-�,�,( <br /> r�o�u�aaa«s <br /> Description of Work to Be Done: .2'<2✓ �s��*� � e���� �:.'.,.2-li • 1a'a �s,.,.o..,•,,,i(• <br /> /,cr..�.f•Y l'.i N�-�i� • <br /> r <br /> NOfH:WpC 29fi-06-140 REQUfRES THAT PLANS POR ELECTRICAL WORK AT EDUCATTONAL,INSTITUTIONAL OR <br /> HEALTH CARG FACILITIF.S �E MPROVED BY 7'HE STATE OF WASFiINGTON. APPLICANTS W1TH SUCH IOBS <br /> MUST SlIOW THE STA7"E APPROVED PLANS BEFORL•C1TY OF EVERET PERMIT WILL DE 1SSUED. <br /> NOTE:WIRING IN NON-DWELLiNGS IS RLQUTALD TO BF.IN METALLIC RACLIYAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I I;3RH�Y CERTIFY 7"HAT I HAVF RHAD hND EXAMINED THIS APPLICATION AND KNOW 7'HE SAME TO BE TRUE <br /> ANJ CORALCT, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COTSPLETLD WI'CEi WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOHS NOT PRESUh1E <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL 7'HE PROVISIONS OF ANY OTHER STATE OR LOCAL LA1V <br /> R[GULATING CONSTAUCTION OR THE PL-RFORMANCE OF CONSTRUCiION. 'IHAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY'I'O PERFORM THE R'OR};FOR WIiICH APPLICATION IS MADL AND I COMPLY WITH <br /> TI3E STATE CONTRACfORS LAW ]6.27 RC'rV AND 296.200 WqC. <br /> ` I��n�> <br /> � "" `I—�"y'9 F� �'J <br /> SignaNm Date <br /> ����7� <br /> dce�.p ]/5/ni <br />