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2v.[,'�;. . ...��p..'' � <br />cm oF avaacrr <br />BUILDiNG DIVISION <br />3200 CEDAR S7REET <br />HVERE7T, Wp 98201 <br />Owner <br />CF <br />APPLICATION TOR TL�CTRICAL P�RMIT <br />Addres <br />State/Zip <br />�/bl i.� 2- <br />� <br />259-88f0 <br />Phone <br />Tenml . . . N.aii Address . City SUte/ZiP - Phone <br />Electrical <br />Conlract Price of Work ProposrA Uu of Building <br />Projmt Address <br />Description of Work to Be Done: <br />Phone Slate Licensc No. <br />NOTE: WAC 29G-06-140 REQUR2ES THAT FLANS FOR ELECTRICAL WORI: pT EDUCATIONAL, INST1TU770NAL OR $ <br />HEALTH CARE FACILTCIES BE APPROVED BY THE SfATE OF WASffiNGTON. APPLiCANTS W1Tg SUl'H ]OBS <br />MUST SHOW THL• Sl'ATE APPROVED PLANS HEFORE CiTy 0I' EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIFtING IN NON-DWELLINGS IS REQUIRED 70 BE M METALLIC RpCEWAYS (MC AND AC, ARE CADLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 7'FiIS APpLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORAECf. ALL PRQVISSONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF \VORK WILL BE <br />Wb1PLETED WITff WHETHER SFECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE pU7HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STA'fE OR LOCAL LAW <br />AEGULATING CONSTRUCIION OR THti PERFORMANCE OF CONSTRUCTION. THAT I AAi AU7'HORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE• WORK FOR WHICH APPLICATION IS AfADL AND I COMPLY \VI7'H <br />THE STATE CONTRqCTORS LAW 18.27 RCW AND 296,200 WpC. <br />X <br />,�a�,�, - ��Ly/�3 <br />SignuNro . Dale <br />clrnpp (7/Sl9l) <br />