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APPLICA'rION FOR �L�CTRICAL P�R:�iIT <br /> ,� .�'}� <br /> 'y1 C`~-7 <br /> �a y CITY OF EVERETT <br /> ��H f3UILDING DIVISION <br /> 9 H cn 3200 CEDAR STREET �` <br /> H x�, LVERETT,WA 95201 259-8810 <br /> H <br /> N � <br /> K y� ��.� ���J.� <br /> � <br /> � �� j�A��1� �� 1-)F///��,�1�5 � �C�lo J Hc l'v��� 57-• zut�,ri% .3,�=<r,�� <br /> � �� Owoer Mail Address City Stzte/Zip Phooe <br /> � H� o <br /> H C�]O <br /> H� � Teoanl - Mail Address City State/Zip Phcoe <br /> > y C7 a 6 2-7J� / Ra;n;es��,�sr- <br /> e v y �i ��� t�a �l.�i��•SF��✓. �'7ul w �7�ir�,R Pl�� ��� 5G/t7r�x s��yy r���;�,:�.��s-Tr <br /> n ~' Lleclrical Contraclor Mail Address City Slale/Zip Phone State License No. <br /> b� <br /> � �� I �f'1 sr-t� - r\o� `T.:h <br /> y p� Contract Price oF Work Praposed Use of➢uilding ' <br /> SRI�F <br /> Yrojcct Address � <br /> Drscription o(Work to Be Done: ��� �� �U A�� �l:'C J�i� -� �' ' ' � C U�` �f i�% � V�� <br /> �� �� <br /> �. � <br /> Qt =� <br /> ry � NOTL:WAC 29G-�46-140 RLQUIRES 11iA7' PLANS FOR ELECTRICAL\40RR AT EDUCATIOPIAL, INSTINT:ON/.L OR <br /> d� =a� HEALTII CARF. FACII.ITIGS 3E- APPROVL•D DY THG STATL• OF WASFiINGTON. APPLICANTS WITH SUCIi JOBS <br /> - , .,� MUST SHOW THE STATE APPROVED PLANS DL�ORE CITY OF GVERET PERMIT VV1LL IIL" ISSULD. <br /> NOTL:WIRWG IN NON-DWE•LLINGS IS REQUIRL•D TO IlH M METALLIC RACEWAYS (MC AND AC, ARE CAIILES, <br /> F; � � NOT RACLWAYS). <br /> � <br /> I HLR&DY CER"IIFY THAT f HAVL RLAD AND EXAMINL-D TIiIS AFPLiCATION AND ICNOW THE SAT4E TO BE TRUE <br /> �' =� AND CORRECT. ALL PROVISIONS OF LA\'�'S AND ORDINANCES GOVHfWING TI�f]S TYPE OF WORK WILL BL <br /> -..- COMPLETGD W[TH WHETfiL-R SPECIFIED I�EREIN OR NOT. THE GRANT[NG OP A PER:dIT DOLS NOT PALSUbtE <br /> TO GIVL' AUTHORITY TO VIOLATfi OR CANCGI_ THL PROVISIONS OP ANY OT.HER S7'AT6 OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THf PLRPOftMANCG OP CONSTRUCTIOn`. Tf1A"' I AD1 AUTHORIZED BY THL <br /> OWNLR OP THIS PROPLRTY TO PGRFORM THG WORK POR WHICH APPLCATION IS MADH AND T COTfPLY WITH <br /> �� �'�� THL• STAT6 CONTRACTORS LAW 13.27 RCN AND 29G.200 1VAC. <br /> , —Gw�i � � � <br /> � � � '`f .�� � _ r��:_;�� <br /> - - st��u����� —� o:�i� <br /> i <br /> �' <br /> �����rv Cfisr9i) <br />