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CITY OF EVERETT <br />BUILDING DMSION <br />3200 CFilAR STREET <br />E`iEC�ETT, WA 98201 <br />APPLICATION FQR ELECTRIrAi, PF;RivIIT <br />259-8810 <br />�l�n/ i rr� �0. �a,� i39� Sn��e�i��sr-� ur� ����'� �g-zo�� <br />Owner Mail Addrea City StatelZip Phone <br />Tenant <br />Ivfail Address . <br />Concractor tviail Address <br />/DOD, °� <br />Contract Price of Work <br />�22 �lilll �ISt� �/ <br />Project Address <br />City <br />City State/Zip <br />/�'ES,�.����cE <br />Proposed Use of Building <br />State/Zip <br />334z�0 <br />Phone <br />Phone <br />��rJS�I N�o �o.eS <br />State Licease No. <br />Description of Work to Be Done: _��/V�(�— �"��%%L L ��� �, �� ft/�'l� �+t'��C� <br />AU_ ���i��N �, �nlC�� ^ O ��� �/��-�/J�' -`�'L ,C�.4SCE <br />NOTE: WAC 296�6-140 REQTTiRES THAT PLANS FOR EI.ECTRICAL WORK AT EDUCATIONAL, INSTiTUTION.4L CR <br />FiEALTH CARE FACII,ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW TI-IE STATE APPROVED PLANS BEF(�RE CITY OF EVERET PER1v1IT WII,L BE ISSUED. <br />NOTE: WIkING IN NON-D WELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES. <br />NOT RACEWAYS). <br />I IiEREBY CERTIFY THAT I HAVE READ AN1) EXAMINED THIS APPLICATION AND KNOW TfiE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AISD ORDWANCES GOVEIWING THIS TYPE OF VJOkK WII.L BE <br />COMPLETED WITH WHETFIER SPL•CIFIED I-TrREIN OR NOT. THE GFANTING OF A PER'vfiT DOES NOT PRESLJMS <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />kEGULATING CQNSTRUCiION OR TAE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS YROPE TY TO PEP.FORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRA�RS LAVV 18.27 RCW AND 296.200 WAC. , <br />X <br />��/�- 93 r�� — <br />Date <br />�t�oorr C�isi93) <br />