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CIi'Y OF EVERET'1' <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVEREI'7', Wq ggZ01 <br />Owner <br />APPLICATION FOR ELECTRICAL PERMIT <br />'ES <br />Mail Add <br />Twent Mail Address <br />�% 7���r/ /�/f ��/G �L�/i <br />Elxtncal Contractor � Mail Address <br />yo�°� <br />— <br />Contnct Pnce of Work <br />Project qddress <br />Description of Work to Be Done: <br />/�/��g�C�. � . <br />L-'C_ <br />City <br />City <br />City <br />State/Zip <br />State/Zip <br />259-8810 <br />Phone <br />Phone <br />3�- ��� z <br />�� c2f� C�l,¢. 1�'f•Z�r.� /,_kx,✓�z' l'f'/s'v <br />.,�ate/ZiP Phone State License No. <br />Proposed Use of Builtiing <br />it C � <br />NO"'F; �yAC 296-46.140 REQA[RES '('HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />H&,y('H �qg� FACILITIES BE APPROVED BY THE STATF. OF WASHINGTON. AppLICANTS WI'I'H SUCH JOBS <br />MUST SHOW 'I'HE gTqTE qppROVED PLANS BEFORE CITY OF EVERET PERIvIIT WILL BE ISSUED. <br />NO'fB; WII�ING IN N�JN-DWELLINGS IS REQUIRED TO BE IN METALLIC RACER'AyS (MC AND AC, ARE CABL,ES, <br />NOT RqCEWqyS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND IWOW THE SAME TO HE TRUE <br />AND CORRfiC'I', ALL PROVISIONS OF LAWS qND OItDINANCES GOVERNING THIS TYPE OF WORI{ WILL BE <br />COMPLETED WI'I'y WH�ER SPECIFIED HEREIN OR NOT. THE GR,4N'['ING OF q PERMIT DOES NOT PRES[JA4g <br />TO GNE qUTApRT1'y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTI3ER STATE OR LOCAL LAW <br />REGULq'(7NG CONSTRUCTION OR THE PERFORMpNCg Og CONSTRUCfION. THAT I AM AUTHOWZED BY 'I'HE <br />OWNER OF THIg PROPERTY TO Pfi[tFORM THE WORK, FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CpNTRp�'�'pRS LAW 18.27 RCW AND 296,200 WqC, <br />X <br />Signaturo <br />� L� <br />Date <br />Fee <br />�i«orr �is�o, <br />