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APPLICATION FOR ELECTRICAL PERMIT <br /> CRY OF EVERETC /�� <br /> HU2DTNG DMSION I/%f� <br /> 3200 CEDAR S7REEI' rr��esr <br /> EVEREI'C,WA 9820] ��—" <br /> 259-8810 <br /> M� �� tJC0.L1es rs�OZ� �j�t�.lc�e (�VE G..e..c� (J�1✓f 9$27J <br /> Owow Mail Addrcss Ciry SUldZip Phnne <br /> iemnt /� �� � M�il Addfccs City S�a�dZip Phoue <br /> 1/UGVNc�- l�lec. v�C s�l`l� �'�'f��C. �1�. S7�Cc�wty �fVC!982�5 ?iS3'J7�7S <br /> Elxtri ContncWr Mail Adaress Ciry Sutd�P6one Shte licrnu No. <br /> � a, G�RneF<oyy,�w <br /> �J�• .��CSi��. �� ti� <br /> Canlnct Price o(Work Pmposed Uu of Huilding <br /> ,�02? (,�a�de ��- E���.f` <br /> Projat Addrcss � <br /> Descriplion of Work to Be Done: /���W �J 9 4 k � !�1 G�e-� f7q�S C [Ck d <br /> �- /�/T�. , /Oa �_ .Cu r7 �e�N2 �, <br /> NOTE:WAC 296�G•140 REQUIRES THA'C PLANS FOR ELEC'CRICAL WORK pT EDUCA770h'AL,W.S7TIUTIONAL OR <br /> HEAL77i CARE FACILITIES BE MPROVED BY THE STA7E OF WASHINGTON. APPLICAN:S WCIH SUCH IOHS <br /> MUSC SHOW THE STA7E APPROVED PUNS BEFORE CITY OF EVEREf PERMIT WILL BE ISSUED. <br /> NOTE:R'IRiNG IN NON-DWELLMGS IS REQUIRED TO BE IN METALWC RACEWAYS(MC A::D AC, ARE CABLES, <br /> N�T RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE AEAD AND EXAMINED 7HI5 APPLICAT[ON AND KNOW THE SAME TO HH 7RUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH15 TYPE OF u'ORK WILL SE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT.THE GRAN'fING OF A PER:f�?'DC.p:;jd�?i „ESUME <br /> TO GIVE AVINORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY fiTHER SCATE �:.^. LOCAL UW <br /> REGULATTNG CONSiRUCT10N OR THE PERFORMANCE OF CONSTRUCf10N. TF;AT I AM AUT!iO:tIZED HY 7NE <br /> OWNER OF TH1S PROPL:TY TO PERFORM TF{E WORK FOR WHICH APPLICATTON IS MADE AND I COMPLY WffH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X C, � C.��, / � _ � " � � F� o'S <br /> � Sign � Due <br /> ��— ,�aa X a <br /> .��.PO NSA�) <br />