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^ <br /> APPLICATION FOR LT,ECTRICAI, pERMIT <br /> CITy OF EVERETI' , <br /> BAII.DING DIVISION <br /> 3200 CEDAR STREE'i <br /> EVERE'IT, WA 98201 <br /> , � 259-8810 <br /> ,�in� /�.e.ei,s �40/ �.�e,��rEw �i✓. E�er�� �UF� 9�p 9�- loqsS <br /> �O Mail Address <br /> Ciry State/Zip Phone <br /> � <br /> Tenaat • " � Mail Addros,a <br /> �'J' ���c Phone <br /> ' � . Ciry State/Zip . . <br /> .—*�//- ^ ��-� <br /> Electrical Contnctor Mai1 Address <br /> City . 'Stat4Zip Phone S4te Liceaqe No. <br /> , �GSaoo ��� <br /> Contr+ct Price of Work Proposed Use of$uild�ng <br /> � r �. �i �l/ �o , 1UF- 9�203 <br /> Pro�xt qddress <br /> Dacriptiou of Work to Be Done: <br /> � �ou1 (�/r�i ��c S s S�,e <br /> - 2 <br /> NOTE;WAC 296-46-140 REQUIItEg'�'�qT pI,pNS FOR ELECIRICpi,WpgK AT EDUCATIONAL, WS <br /> HEALTfi CARE FACIISITES BE ApPROVED BY'Tf�'STATE OF WASFIII�(GTON. APPLICANTS WtI'H gAC� JOBS <br /> MUST SHOW TT�E STA?'E AppROVED PI,qMS BEFORE CITY OF EVERET pgg�TT�yII;L gE ISSUED. <br /> NO'I'E;WgtING IN NON-DWEL,I,INGS IS REQUIggD TO BE IN MET,a.I,LIC RqCEVyAYS (MC AND AC, A1tE C,qgI,� <br /> NOT RACEWAYS). <br /> I fiEREBY CERTTFY THAT I HAVE RE,yD qND EXAMINED THIS ApPLICAT'[ON,SIVD KNOW TFIE Sqlvig TO BE TRUB <br /> �1ND COE�RECI', q(,L pgpyISIONS OF LpWg ,qND ORDINANCES GOVEgMNG '�g �•pE �p �yQg� �L BE <br /> COMPL.�'�Ep W�H ��R SPEC7FJBD HEREIN OR NOT. 'FHE GRAN'Tp•IG OF A PERMIT DOES NOT PRF.SUMg <br /> TO GIVE qU'I'�;pgTry TO VIOLqT'H OR CANCEL T'f� PROVISIONS OF ANy OTHER STATE OR LOCAI, I,qW <br /> RE�UL4TTNG CONSTRUCf[ON OR Tf� pERFORMqNCE OF CONSTRUCfION. '�pT I y� p�p��D BY TFIE <br /> �V✓NER OF THIS PROPERTY TO PERFORM 'I'HE Wp[t� FOR WHICH APPI,ICq'TTpN IS MADE AND I COMPLY W1Th <br /> . THE STATE CONTRpGZ'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ' <br /> , �� 0,� • p <br /> S��(ature � / �� l � , Fee �O.O�� <br /> ' ' Date <br /> - u3z�3 <br /> o�«,vv�: <br />