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!�•� <br />APPLICATION FOR LLECTRICAL PERMIT <br />C1TY OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVERET'f, WA 98201 <br />�� �---� <br />�', ,, <br />� <br />ya.�for 17a�.�ala���{ 2�01 6� q,,� "3ors S.ea+{� t,�. 98�i� �r. y-1-/- Q.90 <br />Owner Mail Address City S4te/Zip Phone <br />Twaat <br />'�- C�f� .�h� <br />Elxtrical ContracWr <br />j2S,�2.o,-° <br />Conhact Price of Work <br />Addrcss <br />/G21z go�..11 <br />. Ciry ,I � S4te/Zip . <br />Le <br />Sf F-13S G.�d 96b�i G1�•6'14� <br />Phone <br />Mail Addrcss �`Ciry��� State/Zip Phone S4te Liceose No. , <br />1\ <br />%720 {�fa,rd�—S D N /2oa.( <br />Project Addrcss <br />Descripi' i of Work to Be Dona � <br />Proposed Uu <br />NOTE: WAC 296-46-140 REQUIItES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTTI'[TITONAL OR <br />HEALTH CARE FACILITIES Bfi APPROVED BY'TF�'STAT& OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br />MUSf SHOW Tf� STAT& APPROVED PLANS BEFORE CITY OF EVERET PERIvITT WII.L H& ISSUED. <br />NOTE: WIRING IN NON-DWELT.WGS IS REQUIR6D TO BE W METAL.LIC RACBWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CER'I'IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANA KNOW TH& SAMfi TO Bfi TRUE <br />AND CORREGT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEEWING THIS TYP& OF WORK WII.L BE <br />COMPLETED WITA WFIETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PfiRMiT DOES NOT PRESUMfi <br />TO GIVE AiJTfiORLTY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTiON. THAT I AM AUT'FIORIZED BY THfi <br />OWNER OF THIS PROPERTY TO PERFORM Tf� WORK FOR WHICH APPLICATION IS MADfi AND I COMPLY W1Tfi <br />THE STATE CONTRAGTORS LAW 18.27 RCW ANP 296.200 WAC. <br />X �I �YY.�Cu�°t�-�-� <br />Signaturo <br />����� � <br />J � <br />� _J <br />Fx .�/� -��� <br />/O?. 7�.�a- <br />elecapp (!/5/93) <br />