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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> E��TT, WA 98201 <br /> 259-88f0 <br /> -L�/G2��� /G/�//D I��,��� � /�//ii�� 9.�/�-s� �SS/y >> � <br /> Owner / Mail Address <br /> C��y State/Zip P6one <br /> Tenant Mail Address <br /> City State/Zip Phone <br /> T�-// <br /> j Elxtrical Contnctor Mail Addrcss City State/Zip Phone State Liceuse No. <br /> .SlC.� p�0 /�rn� <br /> Contnct Price of Work Proposul Use of Bmlding ' <br /> ' _ SSaI ��s-.�i�i�.v � � �f S6' <br /> ; Pro�xt qddress <br /> Description of Work to Be Done: __ ///i ��jU y / ��j� <br /> NOTE:WAC 296-d6-140 REQUIREg '('gpT PLANS FOR ELEC'I'RICAL WORK A1'EDUCATIONAI., INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUSf SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET'pgI�IVITT'V,r(LL BE ISSUED. <br /> NOTE:WIRp1G IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS), <br /> I HEREBY CERTlFY THAT I HAVE READ AND EXAM[NED THIS APPLICATION AND IWOW TH&SAME TO BE TRUE <br /> AND CORRBCf, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERMNG THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHgTHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNH AUTHORITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL L,qW <br /> RLGULATING CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCi'ION. THAT I AM AUTTipRIZgD BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WqC, <br /> X /'� ��/� /i i/�� L�o�W-��� ��<et� <br /> Signature F� <br /> Date <br /> �,1 1�V <br /> lit <br /> ��«�rv f�isi9» <br />