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� <br />CITY OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Owner <br />Tenaat <br />� <br />APPLICAZ'ION FOR ELECTRICAL PERMIT <br />Mail Address <br />Elcefrical Contractor Mail Address <br />t' <br />� <br />l�'kJ �r (i.�, i� <br />Contract Price oi Work <br />���:�u r!� � <br />Projent Address <br />City <br />City <br />l/2iv L(/� 7 i'/.Z � <br />City State/Zip <br />� �� C � 7�r <br />Proposed Use Buili <br />State/Zip <br />State/Zip <br />Phone <br />259-8810 <br />Phone <br />Phone <br />State Liceasa No. <br />DescriptionofWorktoBeDone: /YpMOUY ��I �GO.A�'1/J ,f�tlG /74tit�iNfifl�Y.u��/,i�,L ,L <br />NOTE: WAC 296-46-140 REQiJIREg THpT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTiTUTIONAL OR <br />HEALTH CARE FACII.II'IES BE APPROVED BY THE STATE OF WASHII�IGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CT!'Y OF EVERET pER1v.+IT WII.L BE ISSUED. <br />NOTE: WIRITIG IN NON-D\VELLINGS TS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />: HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TiIE SAME TO BE TRUE <br />AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WII.L BE <br />COMPLE'I'ED WITH WfiE'('figR SPECIFIED HEREIN OR NOT. TKE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTi30RITY TO VIOLATE 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 Tf� WORK'rOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 lYAC. <br />X <br />Signaturo <br />Date <br />�a 3�� <br />F�'�Z5 � <br />decePP (3/5/9J) <br />