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CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT� WA 98201 <br />Owaer <br />APPLICATION FOR ELECTRICAL PERMIT <br />r/�.-o-r` l I �U s' � Gr �b /7 J-�. /'J, C <br />Mail Address C��y <br />��, -� � <br />Tenant Mail Address <br />�ako s ��vo.�s r�e�i ,/.�i <br />Electrical Contractor Mail Address <br />�.7 � 2 %E7/�*'L�`''�'� � <br />Contract Price of Work <br />G �„ �, <br />City <br />259-8810 <br />�'d'7. ?� <br />� ✓, <br />��f /U/+'. C[nS�- S.SS <br />State/Zip <br />StatelZip <br />Y�' ��-8 <br />�/�S/.�✓PNS v✓!'.�-'.33�/ <br />City State/Zip Phone <br />Proposed Use of Building <br />Project Address <br />2�/ }�/PcJ id'U/2ryi/J -S.PoC'.��/G,? <br />Description of Work to Be Done: <br />�iti S /� _: <br />P6one <br />Phone <br />G I /� _i'` <br />L.4Kts� _ <br />State License No. <br />NOTE: WAC 296-46-140 REQUIRES 'I'HAT PLANS FOR ELECT OF � SFIINGTON U�PLICANTS�WITH SU <br />HEpI,TH CARE FACILTTIES BE APPROVED BY THE STATE <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, A1tE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />pND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK `MLL BE <br />TO GIVETAnU HORIT H'r� V OLATEFOR CANCELOTHE PROV�ISIONS OFI ANYFOT'HER STAnTEEOR OLOCALSLAV✓ <br />OWNER O TH13 PROPERTrY TO PERFORM THE�ORKCFOR WH �H AP� oATION IS M� AND IO OMp Y�"nTH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 29ti.200 WAC. <br />� <br />Signature <br />�P.?�-�i3 <br />Date <br />Fee .��— <br />�,«o�v C�is���? <br />