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CIT'f ClF r :'ERETI' <br />BUII.DING D:VISION <br />3200 CEDAR STREET <br />LVEREIT, WA 98201 <br />� �� <br />owner <br />Tenant <br />i� <br />APPLICATION FOR �L�CTRICAL P�RM.IT <br />I: <br />�v�J7v��F'�U <br />2�5�� <br />� �-J�-� <br />Ma;l Address <br />Mail Address <br />��� ��- <br />City <br />City <br />us,/�• �' yZ� <br />State/Zip <br />State/Zip <br />259-8810 <br />Phone <br />Phone <br />1��12..iJL-'L �.ie_:�-x-�� F�o,C>rrs353 E_vi�c..it �,,�{-.9YZo) 33��33�z K�IhRuu'��t�Su <br />Electrical Contractor Mzil Address City StateiZip Phone State License No. <br />�. <br />--��� 2C00 �p � )� I� �� <br />Contract Price of Work Propr�ed Use of Building <br />�� ��-'ya — -yB z�=µo�, t- <br />Pro�t Address <br />Description oi Work to Ee Done: _/.� �'w 5 e-� ✓� �-�-s ��er �h-cea o 1 eL 61Ljf�,f � <br />� <br />� <br />�w n rF << S� ,rc� j � tim,�.�-T d-�++� ru�� r���r / <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SLtCH JUBS <br />MUST SHOW THE STATF APPROVED PLANS BEFORE CITY OF EVERET PERMIT WJLL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAI3LES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY'fHAT I HAVL- READ AND EXAMINED THIS APPLICATION rWD KNOW THE �AME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF P. PER�IIT DOES NO"C PRESUME <br />TO GNL AUTHnF.ITY 'f0 VIOLATE OR CANCEL THE PROVISIGNS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PL-RFORMANCE OF CONSTRUCTION. THAT I A1�1 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORb4 7'HE �VORK FOR �i'IiICH APPLICATION IS 1�4ADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW IS.27 RCW AND 296.200 �VAC. <br />X <br />Sionature <br />Date <br />V � <br />ciccnpp (3/5�971 <br />