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r � <br /> APPLICATION FOR ELECTRICAL PERNIIT <br /> C1TY OF EVERETf <br /> BUII.DING DMSION <br /> 3200 CEDAR STREET <br /> EVEREI"f,WA 98201 259-B8f0 <br /> %S o {rr S✓P /S�Pno � �rh� �aeciw�-��u-K o�n� /.Ua 9b'15�� /v�.>-L ��a - <br /> Owua Mail Address /"°' C�ty . State/Z�p Phone <br /> Twant . . Miil Addteas City State/Zip . Phone <br /> z.o4-G�.sz-o�3�. CoNTr.��rlLopF <br /> C.oNr�l���o�+ s LZELT�ic a/3 I /7 z sT iv c �-�C'1-iticrro��, � � 7AZL � <br /> g�xtriaal ContacWr Mail Addrcsa C�ty State/Z�p Phone S4te Lcease No. <br /> �5�. n ��� ��Q <br /> Contract Price of Work Proposed Use of Building <br /> .�/7 �'z r < .,!/,2 <br /> Project Address J ' <br /> Desc:iption of Work co Be Dona�,Xld� -n�'^�"-� a-" C ✓e e�� � �'�"'`� �"���/ <br /> ��t�4�+-J <br /> ' NOTE:WAC 296�6-140 REQUIItES'1'FiAT pT-�NS FOR ELECI'RICAL WORR AT EDUCAT[ONAL, INSf1T[]TIUNAL OR <br /> HEALTH CARE FACIIITlIES B& APPROVED BY THE STAT& OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUSf SHOW THfi STATE ABPROVED PLANS BfiFnRfi CTTY OF EVERET PERIvITT WII..L BB ISSLTED. <br /> NOT&:WIIt1NG IN NON-DWELLWGS IS REQUIRED TO B&IN METALLIC RACEWAYS (MC AND AC, ARE CABLES. <br /> NOT RACfiWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ.4ND EXAMINED THIS APPLICATION AND KNOW TFIE SAMfi TO BE TRU& <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCF.S GOVERNING THIS TYPH OF WORB WIIs. BE <br /> COMPLECED W1TH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMTf DOES NOT PRESUMB <br /> TO GIVE AUIHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATS OR LOCAL I.AW <br /> REGULATING CONSTRUCI'ION OR THE PERFORMANCE OF CONSTRUC110N. THAT I AM AUTFIORIZED BY THE <br /> OWNHR OF THIS PROPERTY TO PERFORM TF�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> 'I'f�SfATE CONTRAGTORS LAW 18.27 RCW AND 296.7A0 WAC. <br /> x �3 -�".� F� a� <br /> ,��c�-�-* - <br /> 5��� Date <br /> �la�� <br /> �i«.rv�isros� <br />