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APPLICATION FOR EL�CTRICAL PERMIT <br /> CITY OF EVERE'I'(' <br /> BUII.DING DIVISION <br /> 320G CEDAR STREET <br /> EVERfi'IT, WA 98201 qy��� �� _ ��� <br /> y�y/ �� � �-� ,a <br /> �$9-88�� <br /> � i4�'fG/z�J'T Co.�-3 T .�G6icc/Y` <br /> �'°ef Ma�l Address <br /> C�ty State/Z�p Phoue <br /> Tenant Mail Address <br /> City State/Zip Phooe <br /> I <br /> i ,od� �� E'� � P .� �mX 70� �S'�.oli4,rrii� iid $"ay� ��cc�F-,�, /C3U7 <br /> Electncal Contractor Mail A dress C�ty State/Zi Phone <br /> p State License No. <br /> Contract Price of Work Proposed Use of Building <br /> `7�/� y ���.�. � ��' <br /> Project Address <br /> Aescription of Work to Be Done: ��..,_, �, mo �,y � �Z�f, <br /> l �J <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FO& ELfiCTRICAL WORK AT EDUCATIONAL, IN51`ITUTIONAL OR <br /> HEAi..TH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APpLICANTS WTT'H SUCH JOBS <br /> MUST SHOW THE STATE APpROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING I.*1 NON-DIVELLINGS IS REQUIRED TO BE IId METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND COkRECT, ALL PROVISIONS OF LAWS pND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCF_L THE PROVISIONS OF ANY OTHER STA7E OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR TI-IE PERFORI�IANCE OF CONSTRUCTION. THAT J AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLiCATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> -��-'-�' �-"'- � ' Y �/' 2 r•� <br /> S�gna uro Date <br /> �/��� Y � <br /> decnpp(J/5/9t1 <br />