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CiCY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETi, WA 96201 <br />APPLICATION FOR GLECjP,�i�r�.���d4bl'� <br />l� `n l'; �3 <br />DEC - 9 i993 <br />_ ......_ ................_. ........ <br />CITY OF EVERETT.y <br />Public Works Dept. <br />� <br />259-BB10 <br />..�TfyE/1�/MANil/ �Sa l -� /2ilN/) /i✓- CI�C'irC=7% � L✓/�. �t?ZO � 259 • 2470 <br />Owner Mail Address City SGte/2ip phone <br />Ten�nl <br />Mail Address <br />Stale/Z�n Pho�e <br />W L � <br />GvovoF�a� EtECrizic /r�tLK, Y"C-,22,�� <br />Elecldcal Contracror Nail Address City State/Zip Phooe Shte Licenu No. <br />'fi ��D. � CFS+O[+VTiA[- <br />Cantract Price of Work Proposed Use o( lluilding <br />�Yi�� 1'�('0.Nc1( f�V� <br />Pmjat Address <br />Descriplion of Work ta De Done: _�C'2v/CG WN $!�i fCO�In/E Ci ��I y(� /,?F2ij i�2 /`.,q�/C T!� <br />Coni.vfcnoN AT C/Rc��r l3��rKe:z /'''rl.vet�=oa Etr-ev�r.c ,=va.✓ncc=� <br />NO'fE: WpC 296�6d40 REQUIRES THqT PLANS FOR LLECIRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />NEALTII CARL FACILiTIL•S ➢E APPROVLD BY TIiE STATE OF WASHINGTON. APPLICANTS N'ITH SUCN JOBS <br />T1UST SHOW TIiL• STATE APPROVED PLANS BEFORE CITY OF EVERET PLRMIT WILL BE ISSUED. <br />NOT[: WIRING IN NON-DN'LLLINGS IS REpUIRED TO BG IN MBTALUC RACFWAYS p�1C AND AC, AP.G CASLES, <br />NOT RACEWAYS). <br />1 HL•RL•Dl' CERTIFY THAT f HAVE READ AND EXAMINHD 7HIS APPLICATION AND KNOW THE SAML TO BL TRUE <br />AND CORRGCT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPG OF WORK WILL HE <br />CO�IPLETLD N7TN N71EI'HGR SPGCIPILD HEREIN OR NOT. TIiE GRANTING OP A PLRMIT DOES NOT PRESUME <br />TO GIVG AUTHORITY TO VIOLATG OR CANCEL THH PROVISIONS OP ANY OTHL•R STATE OR LOCAL LAW <br />Rf:GULATING CONSTRUCTION OR THE PGRFORMANCE OF CONSTRUCTION. THAT I AD1 AUTHORIZED BY THG <br />ONRJL•R OF TI11S PROPERTY TO PC:RFOR�1 THE WORK POR W111CH APPLICATION IS AfADE AND 1 COMPLY WITH <br />TfiL STATL• CONTRACTORS LAN 15.27 RCW AND 296.200 WAC. <br />,/a��� <br />�� <br />1 Co0 <br />r� ,2_, <br /><i«arr Prsisi7 <br />