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CITY OF EVERE7T <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVEREI'f, WA 98201 <br />L`V �RE7T <br />Owna <br />�G <br />Twant . <br />,� <br />A.PPLICATION FOR ELECTRICAL PERMIT <br />HauS � t�� �+ '�'r�a�'2 1 T'� <br />Mail Addcrss <br />�S�o / /�o /'L rN2 <br />Mai! Address . . <br />City <br />E-�+£�-►•r <br />City <br />State/Zip <br />Rfz�� <br />State/Zip <br />259-88f0 <br />Phoae <br />z�£s- fzzz <br />Phone <br />th �r�� C R AFT c-c ct Ta 1 C �l � 8 o K �i 4 L. jt t R K LibvD f�SA �S S'�g 3 <br />Elxtrical ConUactor Mail Address City State/Zip Phone Stete Licwse No. <br />Contnct Price of <br />Address <br />A�Ts <br />Proposed Use of Building <br />Description of Work to Be Done: QEP�AeE D£�1+cE S f t� � R E nrc•e�.t 'pe.� C e 1 QS . <br />M E w �ELv � iL 5 <br />NOTE: WAC 296-46-140 RfiQUIItES THAT PLANS FOR EL.&CIRICAL WORK AT EDUCATIONAL, INSTTfUT]ONAL OR <br />HEAI-TH CARE FACIIITIES BE APPROVED BY Tf�' STATE OF WASHINGTON. APPLICANfS W1TH SUCH JOBS <br />MUSf SHOW Tf� STATE pPpROVED PLANS BEFORE CTfY OF EVERET PERMIT WII,L BE ISSUED. <br />NOT&: WIIiING W NON-DWEL,LINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CfiR'I�Y THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO Bfi TRUE <br />AND CORRECf, pLL pROVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS TYPB OF WORB WIId. Bfi <br />COMPLETEp WPfg WHETHgR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMTf DOES NOT PRESUME <br />TO GN& AUT$pR]'('y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULA7TNG CONSTRUCfION OR THE PERFORMANCE OF CONSTRUC7TON. THAT I AM AUTHORIZED BY Tf� <br />OWNER OF THIS PROPERTY TO PERFORM T'F� WORK FOR WHICH APPLICA'ITON IS MADE AND I COMPLY W1TH <br />TFIE STAT& CON1'RACTORS LAW 18.27 RCW AND 296.200 WAC. <br />7_ ,z � .� y3 <br />Date <br />Fee `f 3 • '�S <br />��«.rv �nro3) <br />