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��� <br />C�H <br />t>" � [A <br />i-+>3 <br />y z� <br />� H� <br />� H'�] <br />yyCg <br />� j t�7 <br />H C7 <br />OH <br />��g <br />� Y (C� <br />rHz <br />Hy <br />ti <br />H <br />C� C fn <br />� e� r <br />r� <br />HOcn <br />��� � <br />� � <br />r�� <br />C�TY OF EVERETT <br />BUILDING DIVISION <br />>200 CEDAR STREET <br />EVERETT. WA 98201 <br />Owner <br />Tenant <br />i��/1�7 / <br />� <br />APPLICATION FnR �L�CTRTCAL PERMIT <br />�� <br />Mail Address <br />Mail Addre;s � � <br />�u tu l�t.�l/�!i` �C�/�Z'/� _ <br />City State/Zip <br />— ��ty ssaco�ztp <br />Phone <br />P6one <br />G-rea� F,d-ad� Pl3 <br />tr�'7<J�"' �e� ��'.�8 3�7-dC6� <br /><� /'�P/' r�,� /?ol � � e � <br />Electrical Contractoc Ma;l Addrcss City State/Zip Phone StateLicenseNo. <br />�,d flr� �Soa �1-� <br />Con ct Price of Work Proposed Use of IIuilding <br />,, <br />�-t-(3�. - L��,�4.�s1� <br />ProjectAddress � � <br />� � . � . � � ��:7•7/1TJ//L+1G7I�al���:a� i�•- <br />� / I <br />..� I • �i�7�� <br />NOTE: WAC 296-46-140 REQUIRES TIIAT PLANS FOR FLECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OIL <br />IiEEAI,TH CARfi FACILITIES BE APPROVL•D BY TiiE STATE OF WASHINGTON. APPLICANTS N1TH SUCH JOBS <br />MUST SHOW THE STATE APPROVLD PLANS BEFORE CITI OF EVEREI' PERMIT WILL BE ISSL"ED. <br />NOTE: WRtING IN NON-DWELLINGS IS REQUIRED TO BE IN M[TALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). ' <br />I HEREBY CERTffY TFiAT I HAVE READ AND EXAMINLD THIS APPLICATION AND KNOW T'IiE SAME TO BE TRU� <br />'�'" � AND CORIiECT. ALL PROVISIONS OF LAWS AND ORDINANCES GQVEF2MNG THIS TYPE OF WORK WILL BE <br />�� � COMPLETED WITII V�FiETHER SPECIFIED HL-RELN UR NOT. THE GRAN"i'[NG OF A PEP.MIT DOES NOT PRESUME <br />TO GNE AUTHORI'I'Y TO VIOLATE OR CANCLL THE PROVISIONS OF ANY OTIiEN. STATE OR LOCAL LAW <br />t� REGULATING CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />�� � OWNER OF THIS PROYERTY TO PERFORM THE WORF: FOR WHICIi APPLICATION IS MADF. AND I COMPLY WITH <br />'i1�} STATE CONTRAC'I'ORS LAW 18 �7 RCW AND 296.200 WAC. � <br />.. � , �d��l <br />X <br />Date <br />Fee�/ -- <br />dccnpP Q/5/9J <br />