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- . _._--�------ -----_ -___ ..�.�. ., ,..........�. <br /> �1 (,• ) <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUII.DING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 96201 <br /> 259-8810 <br /> �iti�Cp�� ��A.s�' �2 ?a 7sf�r sf'� ,f s�� 0?90 38'� <br /> Owner Mul Address City Sbte/Zip ph•.me <br /> fj L�4cxc. � � � ��,�� ,�� �� �� , 5 a�� �o����c A�-� ��zb3 '�S3 y�7 <br /> Teaent Mail Address . City Smte/Zip Phone <br /> �r�e.r �t-4o�u S�s� � S • oe..+�;�cr �u��e� c{Ld/� �372C.�� B SSJ'C, � <br /> ElcetncalContracWr MailAddress City State/Zip � Phone S4teLicwseNo. �. <br /> � � 7� � _iUew l�r�, � <br /> Contract Price of Work Proposed Use of Building <br /> �I--^ IL�'G�M C�''�" �F�% � �U��V c✓7 <br /> Project Address , <br /> Description of Work to Be Done: W( K(� �'l/��W ��'l e /O S � .s�'��" <br /> n <br /> �n � I�UrCGV,GCC� <br /> r( �U .r�ti�,� <br /> � <br /> NOTE:WAC 296-46-140 REQUIRES '('f;AT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTT!'[TfIONAL OR <br /> HEALTH CARE FACILI7'IES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SI-IOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PER1vI1T WII,L BE ISSiJLD. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLiC RACEWAYS (MC 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 GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO YIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT'E OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> fHE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � <br /> �� __ /� c� Fce <br /> �'s" � Date <br /> 5�'�i� <br /> elecaPP(�IS/97) <br />