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,-, <br /> �, <br /> APPLICATION FOR ELECTRICA.L PERMIT <br /> CP!'}C OF EVERETT <br /> gUII,DING DIVISION <br /> 3200 C&DAR STTLEET 259-8810 <br /> Eyg�'(',WA 98201 <br /> i l rt /A - y �/� 6'`1�!.23e� <br /> On / !'i stace�zsp Phone <br /> �a Mail Address <br /> City <br /> State/Zip Phone <br /> Ten�nt <br /> . � Miil Addcess C�ry <br /> ���� Ciry State/Zip Phone State Licwse No. <br /> EI���Contractor Maii Address <br /> s� a <br /> proposed Uu of Building <br /> Contract Price of We*1� <br /> �z <br /> project Address <br /> > fe_�r� -- <br /> Description of Wocfc W Be Done: _�_ <br /> NOT&:WAC 296�36-1401tEQ�s <br /> THAT PLANS FOR ELEC'I'RICAL WORK AT EDUCATIONAL. IN5ITNPIONAL OR <br /> �py'�i CARE FACILTTLES BE APPROVED BY THE STATE OF WASHINGTON. APP:.ICANTS WITH SUCH JO <br /> MlJSf SHOW TFIE STATE APPROVED PT.ADIS BEFORE C1TY OF EVERET PER�IIT�"I'BE ISSUED. C��' <br /> NOTE:WIRING IN NON-DVVEI-I-INGS IS REQUIRED TO Bfi IN METALIIC RP�C�AYS (MC AND AC� � <br /> NOT RACEWAYS)• <br /> I HEREBY CER'I'IFY THAT I HAV&READ AND EXAMINED THIS APPLICATIOG AND K�9�T��o oPRESUtv� <br /> p� C O R R E��- P�R�R PbCIF I E D H E R E ND D NOT '�IE GGRANCIN G THIS TYPE OF WORK WILL BE <br /> COMPLETED ,I,� �0�� OR CANCEL TH8 PROVISIONS OF ANY OTHE R S T A T E O R L OCAL L1�W <br /> TO GIVE AUTH�R�TY I COMPLY WPfH <br /> REGULATIIdG CONSTRUCfION OR THE PERFO WO�RICCFOR WHICH APPI.ICATION S M�p,TJD ORIZED BY <br /> pWDiER OF TH(S PROPERTY TO PERFORM 'I'HE <br /> 'I'I�STATE CGNTRp`CTORS LAW 18.27 RCW AND 296.200 WAC. <br /> �. = Fee�� <br /> X � Date <br /> Signaturo <br /> ciccepP(SISN3) <br />