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i <br /> .�: <br /> x r� APPLICATION FOR EL�CTRICAL P�I2i�'IIT <br /> �ay <br /> ,oxm <br /> �" CITY OF EVERETT <br /> CH9" �� BUILDII�G DIVISION <br /> � r� 3200 CEDAR STREGT <br /> y� EVERETT,WA 95201 759-8810 <br /> � [n H <br /> � o� ���t �r2 ��� Po_E��z�,� �omvNns ��� � �� h�� ���-9»-� <br /> O H b O�wcr Mail Addrcss City State/Z�p Phooe <br /> � �g <br /> �� � <br /> C H� Mail Address City State/Zip Phooe <br /> Teoant <br /> HH <br /> y ���' <br /> " 375��,��rIPi�S�'.�m��C� ��,4/4-% 4���� if,�r����3� <br /> g �y � ' ✓lctfC� '� <br /> C�t State/Zip/ P6one Statei.tccnseNo <br /> r" Electrical Contractor Mail Addrcss Y n- <br /> 2 H(/� c� / <br /> Hi o m . �.� OD,� � �V � � J3�� <br /> Contract Pric of Work Proposed Usc of Building <br /> 20 22. ;'_ - Zoz4�z GR 4 i' , .� ETT <br /> Yrojccc aress / _ l . <br /> Dcscription of Work to Bc Donc: <br /> �� l���l� �G �C'-��.-J� �!J_[//Cj ��/� <br /> 1�""j �� [�� �7�1 D B,� " �G�TLE'� <br /> -- �I�1� �.�i�N (je��,�� , <br /> (,�, ...' ' \-/I /L'�A't <br /> � � <br /> NOTL-:�VAC 29G-4G•140 RLQUIitES T'F{AT PLANS FOR E•LEC'CRICAL WORK AT LDUCAT'IO1dAL. INSTITUTIONAL OR <br /> `' � HEALTH CP.RE FACILITIES DL AT'PROVHD I�Y THL 57'ATE Or WASHINGTON. . APPLICANTS 1VITH SUCH JOBS <br /> MUST SHOW TFIE STA7"E APPROVED PLANS BEFORE CITY OF IiVEP,ET PLRA4IT WILL BE ISSUED. <br /> ...,, ,,� NOTL:WIRING IN NON-D�VELI.INGS IS REQUIRED TO BE IN AiLTnLLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACE�VAYS). <br /> ( r'� I HERL•Bl' CLRTIFY TT3AT I HAVL• READ AND EXAMINL•D THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> � AND COFItL•CT. ALL PROVISIONS OP LANS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL SG _,,�c;�--�, <br /> COMPLC•THD �'✓ITH �'✓F1E7'HGIt SPLCIPIED HLRLIN OR NO'C. 7'HE GRANTJNG OF A PGRMIT DOES NOT PRESUME <br /> TO GiV6 AUTHORITY TO vIOLATL OR CANCEL THL PROVISIONS OF ANY OTHLR STA'I�E OR LOCAL LA\V <br /> ��� RLGULATING CONSTRUCTION OR TIiE PGRFORMANCE OF CONSTRIJCTION. T}IAT 1 At.i AUTHORIZED BY THE <br /> ON'NL•R OF 7'H1S PROPLRTY TO P6RFORM THL WORK FOR WI�ICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATL CONTRACTORS LAW 18.27 KC�V AND 296.200 WAC. <br /> �r" _ , � �,,��- �-30 -q-� F�.��- <br /> ig ature <br /> Datc <br /> �a�� <br /> � d«orr�is�s�1 <br />