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APPLICATION rOR�L�CTP.ICAL P�RMIT <br /> CCf"Y OF EVGRETT � <br /> DUILDING DMSION <br /> 3200 CEDAR STeZEET <br /> L•VERE'IT.WA 98201 <br /> 259-8870 <br /> CVfkETT kauS+tiG � r+c✓21 7'� <br /> Owner MuI Addrus City . State/Zip °hoce <br /> �SRwic iYai /�o��AlL E��-"�-rr YYz�+ zss- fzz�� <br /> Tenanl . . . Mail Address City 51ate/ZiP ' Phoue <br /> L�_n�ss-�n. cat�r ��erR�c �� aoK 4sL K�zKCPovn c.r�+ 4��a <br /> Elutncal Contractor Mail Address Ci�y Slate/Zip Phone State Liccuse No. <br /> A�TS <br /> Coniract Price o!\5brk Proposed Use of Building <br /> ��ro� ��� � <br /> Proju^.t Addrecs , <br /> Descoplionof\VorkloBeDcoe: �E�'�A�E �EJ�cES r- WiRc MCW p��6 t1eS. <br /> N E w t=EG-D�It 5 <br /> NOTL:WAC 296-46-I40 REQUIItES THAT PLANS FOR LLE•CCRICAL WCRK AT EDUCATIONAL, INSI7ITP_'IONAL OR <br /> HE4LTy CARE FACILiTIGS HE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCIi IO➢5 <br /> N.US'C SI{OW Tf�STA7'E APPROVPD PLANS BEFORE CITY OF EVERET PER1.fIT WILL DL ISSULD. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIReD TO BE IN hfETALLIC RACEWAYS(MC AND AC, ARE CADLES, <br /> NOT RACL-WAYS). <br /> 1 HERE�y CGRTIFY THAT i HAVE READ AND EXAM WLD THIS APPLICATfON AND KNOW THE SAME TO HE 7'RUE <br /> AND CORRECT. ALL PROV!SIONS OF LAWS AND ORDINqNCES GOVERNING THIS TYPE OF WORK WILL BH <br /> COMPLETLD WITH WI3E'IHER SPECIFIED HERE•IN OR NOT. THE GRANCING OF A PERhf[T DOES NOT PRESUME <br /> TO GIVE AUTFfORITY TO VIOLA7E OR CF�CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> F2IiGULATING CONSTRUCTION OR THE PL•RPORMqNCE OF CONSTRUC;TION. THAT I AM AU77{ORIZED HY THE <br /> OWNER Of TH(S PROPGRTY TO PERFORM T7{E WORK FOR WHICH APPUCATION]S MADE AND I COMFLY WITH <br /> 7'HE STATL CON'IRACI'ORS LAW 18.27 RCW AND 29G.20014AC. <br /> � , <br /> — �,^, �_ ,z� - y3 ,� �s. vr <br /> Si;;n� un: Date <br /> I '-, <br /> C �„) � <br /> daapp Q/5/9l) <br />