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CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVEFtETT, WA 98201 <br />Owner <br />Tenant <br />Electricaf Contractor <br />Contract Price of Work <br />��� G:,v�/hv <br />Project Address <br />APPLICATION Fi�R �L�CTIiICAL PERMIT <br />:r: fj/ ��ro / � <br />Maii Addr <br />�i. _ <br />Mail Address <br />/`�/o s3n/�,�o <br />Mail Address <br />Description of Work to Be Done: <br />��f'/P�� � <br />City <br />City <br />rn„ti GUN cf'1�93 <br />City State/Zip <br />�ya.L✓/i�,� s';�yl,� <br />Proposed Use of Building <br />S., 6,��� r/ � l�, lr �, <br />�! IIII ,�i�il. //OA..Y/ <br />9frz. � <br />State/Zip <br />State/Zip <br />�ll /E'S .l <br />Phooe <br />y <br />259-8810 <br />Phoue <br />Phone <br />'C �iEi¢Md <br />State License No. <br />/ <br />NOTE: WAC 296-46-140 REQUIRES TIiAT PLANS FOR ELEC'fRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLiCANTS WITH SUCH JOBS <br />MUST SHOW TF� STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />IQOT RACEWAYS). <br />I HEREHY CERTIFY THAT I HAVE READ AND EXAMiNED THIS APPLICATION AND KNOW TIiE SAME TO BE TRUE <br />AND CORRECT, qLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOLS NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR I.00AL LA�V <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AU'I'HOF:IZED BY THE <br />OWNfiR 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 />l <br />�ir�r-� � � <br />Signature <br />, <br />.';-�.�'� d t <br />, � <br />� �- <br />Date <br />z� .:y <br />decapp (3/5/97) <br />