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APPLICATION rOR �L�CTRICAL P�RMIT <br /> CITY OF EVERETT <br /> BUII,DING DMSION <br /> 3200 CEDAR STREET <br /> EVERETt, WA 9820] <br /> 259-8810 <br /> �����r��3 So�, � �-E•O✓7 � �' 6 r/ �a S'�'C�1 t k sc��l Q.t �G.i� � L(l� �/�Z73 <br /> Owner Mail Address City Sta Zip T Phone <br /> `CG �yf /-'a ,,� G� kia 4F�o ( �s� 3��y-- <br /> Tcnant � . Ma Address � <br /> CLLy State/Zip Phone <br /> �� ( aH�l�,, 3Ga ! ���.c< �AGc ��rl � g,f-�( �, -r_�rG �'Y�a�v.ss�wzcP <br /> Elecl�Contractor T4a�1 Address City Slate/Z�p Phone State Liceose No. <br /> �3 p.r� d.�.� �-,� - 5 F R <br /> Contract Price of Work Proposecl Use of Building <br /> n O 1 ' <br /> Pro�ect Address <br /> Description of Work to Be Done: Cl�l Gt q � n ri 1` � /� � / /' <br /> + '� r^ �1� � l-t [�r� r�T� �,�P�KPi� <br /> NOTE:WAC 29G-46-140 REQUIRES TIiAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARL FACILITIL•S BE APPROVED BY THE STATE OP WASHINGTON. APPLICANTS WlTH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFOItE CITY OP LVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRLD TO BE IN METALLIC RACLIVAYS (MC AND AC, ARE CApLES, <br /> NOT RACEWAYS). <br /> I HERfiBY CERTIFY THAT I HAVE READ AND EXAMINGU THIS APPLICATION AND KNOW THE SAML T�l BE TRUL <br /> AND CORRECT. ALL PROVISIONS OF LA�VS AND ORDINANCES GOVERNING THIS 7'YPE OF WORK WILL BG <br /> COMPLETLD WITH VVI-IETHL-R SPECIFILD iiLREiN OR NOT. THE GR�ING OF A PERMIT DOES NOT PRLSUML: <br /> TO GIVL AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LA1y <br /> REGULATING CONSTRUCTION OR THB PEPPORMANCIi OF CONSTRUCTION. THAT I AA4 AUTHORIZED IIY TI{E <br /> OWNER OF THIS PROPERTY TO PLRFORM TIiE 15�ORK FOR 1VHICII APPLICATION IS hfADE AND I COMPLY WITH <br /> THE STATE CONTRACI'ORS LAW 18.27 RCW AND 29G.200 WAC. <br /> x ; �/ . / � <br /> ,� <br /> � ' °- �O -If�-98 r� ��� <br /> � �' Signature . Dnte <br /> ; <br /> � v' <br /> 5-9�9� <br /> �i«orr�isis <br />