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APPLICATION I'OR �LECTRICAL P�RMIT <br /> CITY OF EVERETI' ��"'� � <br /> BUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETI', WA 98201 <br /> ���� 259-8810 <br /> � � C Ce�� l�i Z3 No�/-r- -t=vt�.�t W/� �r Fszo <br /> Owuer Mai1 Address � 23� �SN Z <br /> City State/Lip Phone <br /> Tenant � � Mail pddr�ss <br /> City State/Zip � Phone <br /> ��W r,�E rr <br /> Electrical Contractor Mail Address City State/Zi <br /> p Phone State Liaense No. <br /> Con!racl Price of Work —�M �e �'�'��I�/ ��S��L1� <br /> Prop�sea use of:BuildinS <br /> ��I2- 3 �i��/"1- �1�/� <br /> Projecl Address — <br /> Descriptioo of Work to Be Done:— �/k�,' n � Y S �[_W� <br /> ���—�.. vtC' l <br /> — �� O()nn ��lD(.l)1'l ��A"Ll,r s � cir��-�,-�i�S .f.c.� Cs-FT" p�7-L� <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL Wpp.K AT EBUCATIONAL, INSTITUTIONAL OR <br /> AEAI-TT1 CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STA7'E APPROVED PLANS B�.FORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRJNG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (1�4C AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINr THIS TYPE OF WORK WILL BE <br /> COMPL[TED WI'I'H WHETHER SPECIFIE� HEREIN OR NOT. THE GRANTING OF A PERt�1IT DOES Np'C PRESUME <br /> 7'O GNE AUTHORITY TO VIOLA'I'E OR CANCLL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR;ZED BY iHE <br /> OWNER OF THIS PROPERTY TO PERFOR.M THE WORK FOR WIiICH APPLICATION IS ?�4ADE AND I COMPLY WiTH <br /> " THE STATE CONTRACTORS LAW 18.27 RCH'AND 296.2001VAC. <br /> � <br /> I <br /> f � �� � <br /> } l r — "' r �i�� ���� <br /> �' Sionature � � -'---�—�'�_ � Fcc <br /> Dale <br /> decopp(3/<io:� <br /> I <br />