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CITY OF EVERETC <br />BUII.DING DIVISION <br />3200 CEDAR STREET <br />EVEREIT, WA96201 <br />n <br />t <br />APPLICATION TOR �L�CTRICAL P�I2MIT <br />c�ry s�i�z�p <br />� <br />259•88f0 <br />%/A',��,v���n 1��.��nNY i�.:'/d�.n/_''>�N �VFIL'F�. (l)�7 %-F�M� <br />3'knnnt � �� Mail Address . City StatWZip � Phonc <br />/� IMPCC- - <br />'_i7//�/l�'/1 ��GIZC�/(' /`%ij•�'�A7�A�{��.�.�`'��/'/.'� l�� �.F/ �� ����/ n . � �' .� .. /, � <br />� c r(-./!. . n; . �� <br />Llutrical Contraclor Mail Addmss Cily SNldZip Phone Slale Licenu No. <br />%fc �.r>>ir�—�= �i� <br />Contnct Price of Work Proposed Uc of Bail�iing _��/ �r �-� <br />/: .�r�,r7/=!�ic! 5-1- <br />r:o�u� naa« <br />Description of Work to Be Done: <br />' �r <br />/,,�i,.�i)�n . -,=i.i �i.,- t' .[�,,,_' f a,',.i��... -.J '7�.✓T — <br />�i <br />NOTE: WAC 296-06-140 REQUIRES THAT PLANS FOR ELECI'RICHL WORP AT EDUCA770NAL, INSTI'I'UTIONAL OR <br />HEAL7'H CARE FACILITIES DE APPAOVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH ]ODS <br />MUSY SHOW THE STATE Ai'PROVED PLANS HEFORE C1TY OF EVERET PERMIT WILL DE ISSUF.D. <br />NOTE: �YIRING IN NON•DWELUNGS IS REQUIRED TO HE IN ME7'ALLIC RACEWAyS (MC AND AC, ARL CABLES, <br />NOT RACEWAYS). <br />I HEREIIY CERTIFY 7'HAT I HAVE RLAD AND EXAMINED 7'HIS APPLICATfON AND KNOW THE SAME TO DE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BH <br />COMPLETL-D R7TH WHETHER SPECIFIED HERE[N OR NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUMF. <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STA7'E OR LOCAL LAW <br />REGU:.h'IING CONSTRUCfION OR THE PERFORASANCE OF CONSTRUC110N. THAT I AM AUTHORIZED ➢Y THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND i COMPLY WITH <br />THE STATE CON'CRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />�/ � i <br />,�%� r�r.`„ �� /�r. -y-� F��,,�q, 5D <br />Signaturo Dale <br />� � <br />� k�3-I � �t�:�rr0�s�s» <br />