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CITY OF EVER&TT <br />BUII.DING DIVISION <br />3200 CEDqR STRfiEi' <br />fiVF.RL7T. WA 98201 <br />-.�i�//�p � <br />Owner � <br />/C u-S S r� <br />Twant . <br />APPLICATION FOR ELECTRICAI, PERNIIT <br />wu <br />Mail Address <br />5211 �/�qi. <br />_ M—. il d <br />(/-�%9F%'Z� °;�Soo �%sr ii NE� <br />_� E�i tV � SE7'�E <br />City. State/Zip— q8%�s <br />Pl�� Ev�.�kk <br />C�et-�v�- :r�*-1 I�,o 16Z12 6o-��.cl( <br />E�OC�� �ntracWr Mail Address F� I?S <br />�S� <br />Contract Pnce of Work <br />Project Address <br />Descriptiou of Work to Be Done: <br />City <br />v�t; it C��..1� , c.,,� <br />SC 9goiz <br />City StatdZip <br />5FD <br />Proposed Uu of Building <br />�. V <br />259-8810 <br />5�� d' �.Z <br />Phone <br />���- �x.� <br />�—_ <br />Phone <br />6�Z-6�97 _ E(�+"�- Ilolifi <br />Phone State Licwse No. _ <br />n <br />� <br />NOTH; WAC 296�6-140 �REQUIREg TAqT pI,qNS FOR ELECTRICAI, �ypgg qT EDUCA'ITONAL, INSTlTUTTONAL OR <br />HEAL.TH CAR& FACIIdTlES Bfi qppROVED By'THE' STATE OF WASFIINGTON. APPI,[CIfNTg W�'g SUCH JOBS . <br />MUST SHOW Tf� STAT& ARPROVED PLANS BEFORE CTTy OF EVERET PERMTT WII;L gfi ISSUED. <br />NOTE: WIRIN� IN NON-DWELLiNGS IS REQUgtED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERITFY THAT I HAV& READ ,�ND EXAMINED T'HIS APPLiCA1TON AND I{b(pW '� SAME TO B& TRUE <br />AND CORREC(', Ai"T" pROVISIONS OF LAWS AND pRDIIJqATCES GOVERNINC', '1'H�S T'yp& OF WORK WQ,L gg <br />COMPI,fiT'Ep W!'TH W�'��R SPECIFIED HEggIN OR NOT. THE GRf�N17NG OF A PERMTf DOES NOT PRESUMfi <br />T� GNE AUTHORITY TO VIOLA'I'E OR CANCEL Tf� PROVISIONS OF ANY OTi�R STAT& OR LOCAL LAW <br />REGUL.A7TNG CONSTRUCITON OR THE PERFORM,yNCE OF CONSTRUCITON. THA'I' I pM qUTHpgIZ6D BY THE <br />OWNER OF THIS PROPERTY TO PERFORM Tf� Wpgi{ FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />'fHE STAT& CONTRqCI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />X �Y l �(''`"" L <br />Signaturo <br />�/ � `� <br />Date <br />�,�r'�� � <br />�� <br />Fx r/—' <br />elecapp (!/Sl9J) <br />