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AYPLICATION FOR �L�CTRICAL P�RMIT <br /> CI7'1' OF EVERE'I'T <br /> IIUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9820] <br /> 259-8810 <br /> '—`� � �"��K�f ��a01 � ��iH CJCI.L{{- <br /> Owncr Mail Address �-" h �1 yZ-u i Z S-`i - y'ao u <br /> City State/Zip <br /> Phone <br /> Teuant � Mail Address <br /> City State/Zip <br /> Phone <br /> 1'�q/F2u�L L(e �r,t�t r��.(Sox 53S"� F,re�c� W�4•�IYL�1 23 1 v& <br /> Electrical Coniractor M�it q��ress � - o µ� /iv�E �y�� <br /> City State/ZiP Phone <br /> 2 — State License No. <br /> , bcoo N`� . <br /> Contract Pnce of Work �e S' D�N c L <br /> ProposP.d Use of Building <br /> l`��—�� ICWsi � TH <br /> Project Address <br /> Description of Wor!; to Be Done: h:ew �.Cs � p��, �.� <br /> NOTE:'J✓AC 296-46-140 REQUIRES TIIpT pLANS FOR ELECTRICAL WpRK AT EDUCATIONAL, INSTITUTIO <br /> j�E�-TH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WTTH SUCH JOSS <br /> MUST SHOW THE STATE qPpROVED PLANS BEFORE CITY OF EVEI2ET PERMIT WILL BE ISSUED. <br /> NOTE:WIRiNG IN NON-DR'ELLINGS iS REQUIRbD TO AE IN METALLIC RACF..WAl'S (MC AND AC, ARE CABLES, <br /> NOT RACLWAYS). <br /> I i-IEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL?CATION AND KNpW THE SA1v(E TO BE TRUE <br /> AND CORF.ECT. ALL PROVISIONS OF LA�VS AND ORDINANCES GOVERNING THIS TYPE OF WO.FK �YILL BE <br /> C0�IPLETED W]TH WHETHER SPECIFIED HLREJti' pR NOT. THE GRA,�'I'ING OF A pL-R2v(rT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLA7'E OR CANCE-L THE PROVISIONS OF :,Ni OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR TYL• PERFORMANCE GP CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> 01VNER OF THIS PROPERTY TO PERFORM THE WORK FOk WHICH APPLICATION IS n4ADE AND I COMPLY NITH <br /> THE STATE CON'CRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> ,l' <br /> _�,�� ��,<��� y�i� � � <br /> ,/�ipnaturc, p� <br /> Dale �-- <br /> � l�'� <br /> L � .�, _� <br /> d�onrr CliS;,, <br />