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r`\ I\ <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> `il'17( <br /> CITY OF EVERETT <br /> BUII.DING DMSION <br /> 3200 CEDAR STREET <br /> EVERETf,WA 98201 <br /> 259-8810 <br /> ���> i-u� ��1�1I(� (3r�� k��r� ��� �cvr�c �X�z�S 6�/�/-�3�3 <br /> Owuer Mail Address City State/Zip Phone <br /> Tmaa[ � � Mail Address . City S4te/Zip Phoue <br /> T�—�� <br /> Elxtrical Contractor Mail Address City Smte/Zip Phoue Smte Liceuse No. <br /> ��� <br /> Contnct Price of iVork Proposed Use of Building <br /> _ 6�9 ,P�'rLviu✓��tnr /�'��- S3 <br /> Project Addross � <br /> DescripGon of Work W Be Done.� /�IJL.�t�r On /P L�d��i o —_ <br /> ' NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITU'lTONAL OR <br /> HEALTfi CARE FACILITtES BE APPROVED BY Tf� STATE OF WASHINGTOM. APPLICANTS WITH SUCH 70BS <br /> MUST SHOW Tf�STAT&APPROVED PLANS BEFORE C1TY OF EVERET P&RIvI1T WII.L BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLWGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br /> NOT RAC&WAYS). <br /> I HEREBY CER1'IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WIIL BE <br /> COMPLETED WITH WEIETf�R SPECIFIED HEREW OR NOT. THE GRANT'ING OF A PERMIT AOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISTONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TF� <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> TF�STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. . <br /> " /J�_�./���.r�.i��� 7�9..3 F� i�,�� <br /> Signature �— Date <br /> ticcepp(lISl93) <br />