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t ��. <br /> . APPLICATION FOR ELECTRICAL PERI�IIT <br /> CITY OF EVEREIT ' <br /> BUII.DING DMSION <br /> 3200 CEDAR STREEI' <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> Scott Ingham 5405 Parkview Lane Everett , WA 98203 355-1323 <br /> Owner Mul Address City State/Zip Phone <br /> N�A� <br /> Ten t .. � Mail Address , . City StatdZip • • Phone <br /> 2 ��� � �"'f" <br /> Electrical Cootnctor Mail Address City 'SlatdZip Phonc State Liceuu No. <br /> � .a9: �s� _ : s �� <br /> Contract Price of Work Proposed Usc of$uilding <br /> 5405 Parkview Lane Eve�ett, WA 98203 <br /> Projat Addrcss ' <br /> •I <br /> Ducription of Work to Be Doue: <br /> SEC. SYS. SFR <br /> cust#3969-1-27 <br /> NOTe:�VpC 296-46-140 REQUIRES THAT PLANS FOR ELEC7RICAL WORK AT EDUCATIUNAL, INSTfI'UTIONAL OR <br /> HEALTH CARE FACIISITES BE APPROVED BY TE� STATE OF WASHIIJGTON. APPLICANI'S WITH SUCH JOBS <br /> MUST SHOW TF�STATE APPROVED PLANS BEFORE C1TY OF EVERET PERASIT\VII..L BE ISSLTED. <br /> NOTE:WIFLING W NON-DWELLWGS IS REQUIRED TQ BE IN METALLIC R,�CEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAAtINED TFIIS AP?LICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDiNANCES GOVEIWING THIS TYPE OF WORK WII..L BE <br /> COMPLETED WITH WFIE'I'HER SPECIFIED HEREIN OR NOT. 'FHE GR.WI'L�IG OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I Ahi AUTHORIZED BY Tt� <br /> OWNER OF THIS PROPERTY TO PERFORM Tf� WORK FOR WHICH APPLlCATION IS MADE AND I COMPLY WITH <br /> TFIE SfATE CONT'RACfORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � <br /> ��. /`�-e�_ �— ZS- 9� Fu .30 .o�-- <br /> Si ature � Date <br /> . �33 �p <br /> elecePP C <br />