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APPLICATION FOR �L�CTRICAL P�ItMIT <br />CITY OF EVERETT <br />BUII-DING DMSION <br />3200 CEDAR STREfiT' <br />E��TT, WA 98201 <br />`�'�"°OC ` Mail Address ��— <br />c� � � \ <br />Tenant Mail Address . . <br />;�y/ <br />f��C 1- �1�.f`�'--� li� � R' I C <br />Elxtn Contractor Mail Addrcss <br />Conhact Price of Work <br />Projxt Address <br />Description of Work to Be Done: _�� ���p 1 <br />Ciry <br />,� � <br />'�er w-f� <br />State/Zip <br />Proposed Use of Building <br />State/Zip / <br />l � \ <br />SlatelZip � <br />Pbone <br />259-8870 <br />�77 <br />Phone <br />Phone <br />�y� In�t, ��, <br />State Licease No. <br />T <br />r(1 ^(. <br />%. <br />NOTE: WAC 296-46-140�REQUIREg'CHqT PLANS FOR ELEC!'RICAL WORK pT EDUCAIIONAL, II�JSTiT[1TYONAI.OR `� <br />HEAI.TH CAR& FAC�$ BE APPROVED BY Tf�'STATE OF WASHINGTON. ,APPI,ICANTS Wl'iH SUCH JOBS <br />MUSf SHOW THB STATE APpROVED PLANS BEFORE CITY OF EVEREI' pERiviIT WfI,L BE ISSUED. -� �� -- <br />NaT'E: WIRING W NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWqyS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREHY CERTIFY 7'fiqT I HAVE REqD ql•fD EXAMINED'i'HIS APPLICATION AND IWp�y T'f� SpME TO B& TRiJfi <br />�D �a�C'I'• ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYpE OF WORg WII,L gg <br />TO GIVLE pU7'HpgTTy�pHyip�q� OR CANCEL 1TIE PRO�IS ONS O�ANy p7'Hgg S q�EpR LOCAL I,�AW <br />REGULATING CONSTRUClTON OR T'HE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THfi <br />OV✓NER OF THIS pROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br />THE STATE CONTRpCI'ORS LAW 18.27 RCW AND 296.200 WpC. <br />X <br />Signature <br />Gd <br />�,,�i� -s <br />I�—� <br />,�S <br /><IccepP (!/5/93) <br />