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f <br /> � "� <br /> � � x <br /> C, H <br /> 9H [n <br /> Y �r <br /> N � H <br /> FC C'] <br /> H �1 <br /> �yH , � ". ' <br /> x 1�� <br /> � � d ��`(i\ APPLICATION I'OR �L�CTRICAL PGR112IT <br /> H � g <br /> �r n <br /> �y� CITY OF EVERHTT <br /> t� z BUILDING DIVISION <br /> � H H 3200 CEDAR STREET <br /> � H EVERETT,WA 98201 <br /> C] C7 v� <br /> �� � - <br /> H!n i < <br /> yo�n -� � .� -� %ti<i/i' /�,i �•' � �� /�// i-• r %J 6s�>- ,_),/=' <br /> Owner Meil Address City Stale/Zip Phone <br /> Tenant Meil Address Ciry SwtelZip Phone <br /> 7/!/�/ii'K %`L i"�'7 �3'/JG 5�.�{.�tt �,= `ir.�'i:.� 1/ i-1`%1 �/ S.lf y`'�' ' �%4/�LL' L~rc..,S:�'✓.1 <br /> Eleclrical Contmclor Mail Address City Smle/Zip Phone Smte License No. <br /> CoNmcl Price of Work Proposed Use oi Building <br /> '�' �l ��G� Y7 r!i ,,t�i:� ��iil [. C'T �_ <br /> Project Address <br /> '�' Descriplion of Work to Be Dane: ��t'1' �7•)[;1��" i�� 1 �.� � /��',�i.> <br /> ' 1 <br /> '�' <br /> � 1 <br /> � ' NOTE:WAC 296-46-I40 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTII'UTIONAL OR <br /> � HEALTII CARG FACILITIES BE APPROVED BY THE 5'CATE OF WASHINGTON. APPLICANTS WI'CH SUCH JOBS <br /> ;�' MUST SHOW THE STATE APPROVED PLANS E3EfORE CITY OF EVERET PERMIT WILL IIE 155UED. <br /> NOTE:WIRING IN NON-DWELLINGS iS REQUIRED TO BE IN METALLIC RACEWAI'S (MC AND AC, ,\RE CABLES, <br /> f�' NOT RACEWAYS). <br /> ��I I HEREBY CERTIFY THAT f HAVE READ AND EXAMINED THIS APPLICA'fION AND KNOW TIiE SAM6 TO BF TRUE <br /> AND CORRECT. ALI. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL IIE <br /> ' COMPLGTED WITII WHETHER SPECIFIED HEREIN OR NOT. THG GR�,NT[NG 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 PERPORMANCE OF CON57'RlICT10N. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE\VORK POR WHICH AP°LICATION 1S MADE A�D I COMPLY WITH <br /> THE STATG CONTRACTORS LAN 18.27 RCW AND 296.200\VAC. <br /> , , "�i.� — <br /> a /;i � ,i ) _ - -� � �� ,. /j� �i f Fce .7�i <br /> ' Signaturo - � Dale <br /> ��\��� <br /> -� <t��arr f�isro» <br />