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crrY or EVExEEz-r <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 95207 <br />�Lr"�/ <br />Owner <br />Teoant <br />APPLICATION FOR �LECTRICAL PERMIT <br />.,�� /�c/ <br />Mail Address <br />Mail Address <br />/tr :-`v r / f �� <br />City <br />City <br />,�(, <br />��� <br />� <br />� <j��o� <br />State/Zip <br />State/Zip <br />�59-8810 <br />P6one <br />Phone <br />/fC//r'�.fta .vF�r�[ �`f'/u�Jt'��c!% ��G.G7�//C.[ru. ���7j �-�/E'ci /�C�rt�c`'C Oc�Sr-.vlA- <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />Conlract Yrice of Work <br />ti� <br />P ojec[ Address <br />Description of `Nork to Be Done: <br />S�, <br />�p . <br />rSr�e�� .r„J ��fdlil't G'��Cv.'rc /fio .1/i°�ti C�'rGc��s'y ^��, NPct�A�✓��� ;en,nl L���✓ �;,, Si. �•i<c <br />�� ,(� X�Cib�/C� �:rr,.%G <br />NOTE:IVAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH IOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWLLLINGS IS REQUIRED TO BE IDi METALLIC RACEWAYS (MC AND P.C, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBI' CERTIFY 7'HAT T HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISiONS OF LAWS AND ORDWANCES GOVERNING TF?IS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIULATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE 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 WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� <br />X f��� , <br />,% <br />Signaturo <br />�� <br />� <br />�% �. !� !, <br />Date <br />,� ����"l <br />2S `=� <br />�i«orr �isiv>> <br />