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� � <br /> H <br /> C ~ <br /> H �� <br /> rC C) <br /> H� <br /> �H� <br /> N <br /> x <br /> H <br /> o� e APPLICATION rOR EL�CTRICAL P�RMIT <br /> ��g <br /> �� � <br /> CITY OF EVERETT <br /> �, y BUILDING DIVISION <br /> H H 3200 CEDAR S'tREET <br /> g y EVEREII',WA 95201 <br /> H <br /> C]C7 b� <br /> �� � ' � l. , /� o'/`i� .> ,j , <br /> HO[�/� �i� �r^II (�" t � �`I°II( �1. � /:�; � �._ � � �� r � - - <br /> � Mail AdJress City SL�tc/Zip Phone <br /> Owner <br /> Tenant <br /> Mail Address City State/Zip Phone <br /> . � • -�� ��)y A-�., ,�<-a ; ,"�l/�L: �-i_�G;,5,�.�,1 <br /> f)l�lc'C/L' '-L c7 � '' 1C S�� " %14: /. ' ��.-/-.�: ,..� .;.�'i �. <br /> Eleclricnl Contmetor Mail Addn:ss City Stule/Zip Phone Stale License No. <br /> Contract Price of Work Proposed Use of IIuilding <br /> r;�C:� � 1�- �• � r� / «` l c^T ��' <br /> ' ' Projecl Addn:ss . <br /> � ' � �C-L i�l,.vi� <br /> � Description of Work lo Be Done: �,�✓� � !�i'� i�' �" -� <br /> ' ' <br /> 1�' <br /> ' � <br /> r�' NOTE:WAC 29G-46-140 REQUIRES THAT PLANS FOR ELLCTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> J1 MUST SHOWR HE STATE APPROVGD PLANS IILFORG CITY OF EVERET ERI�oT WILL BC ISSU DW�H SUCH IOBS <br /> � NOTE:WIRING IN NON-DWELLINGS lS REQUIRED TO BE IN METALUC RACEWAYS (MC AND AC, ARE CABLES, <br /> �1 NOT RACEWAYS). <br /> I� I HERLIIY CERTIFY THAT I HAVE READ AND LXAMINED THIS APPLICATION AND KNOW THE SAME TO IIE TRUG <br /> AND CORRECT. ALL PROVISIONS OP LAWS AND ORDINANCLS GOVERNING THIS TYPE OP WORK WILL BE <br /> �1 COMPLETED N'ITH WHLTHER SPECI�IED HEREIN OR NOT. THE GRANTING OF A PER1�41T DOES NOT PRF.SUME <br /> � TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> �� REGULATING CONSTRUCTION OR THG PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THti <br /> OWNL-R OF THIS PROPERTY TO PERFORM T?IE WORK FOR WHICl1 APPLICATION IS niADE AND I COMPLY WITH <br /> THL• STATE CONTRACTORS LA�V 18.27 RCW AND 29G.200 NAC. <br /> \ . .� . , . ' '�pate. - Fee .����- — <br /> � Sign:�luro � <br /> ;���� <io��rr�rc�e>> <br />