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APPLICATION FOR �LECTRICAL PERMIT <br />Cft'Y OF EVERE'IT <br />BUILDING LfVIS10N <br />3200 CEDAR STA&ET <br />EVERETT, WA 9820I <br />� <br />259-8870 <br />�UCRE7T kaE�SitiG �1v TrFa'✓2 ) T'`� <br />Owoer Mail Address City . SlntdZip phone <br />_JR,�.,c �yo. �v/'t,o,e Evb^En- 4Yzo1 zss- Pzzz <br />Teoant - Mail Add¢ss . . City SuldZip � � Phont <br />MAsz'R GRA�r ccce-RiC �� Dcx y5+- �(�RK�An1D W�+ �iST�3 <br />Electrical Contracbr Mail Address Cily SL�tdZip Phone Sule Liunu Na. <br />A�Ts <br />Conlydct Prim of Work Pmposul Use o( Huilding <br />/.'�.� l � �o��a/L_ <br />£rojcct Address . <br />DcscriptionofWarkloBcllone• �EPi�eE DEJ�<ES r- L�iQ2 Nc�.�> P��6 =�25.� <br />N � N1 t=EG"D c R 5 <br />NOTE: WAC 296-06-140 REQURtES TIiA'C PLANS FOR ELECI'RICAL WORK AT L•DUCA7fONAL, IIJ571TITI'fONAL OR <br />HEALTH CARE FACILiT[ES BE APPROVED BY THE STATE OF WASHINGTOiJ. APPLICANiS WITfI SUCH JOBS <br />M1f UST SHOW Tf� STATE MPROVED PLANS BEFOa.E C17'Y OF EVERET PERAfI'C WILL DE ISSUED. <br />NOTE: WIRQ�G IN NON•DWELLMGS IS REQUIRED TO HE IN TtETALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOTFWCEWAYS). <br />I HGRfiBY CERTIFY THAT I HAVE READ AND EXAAfIYED THIS APPLICATION A�W KNOW TfiE SAME TO DE TRUE <br />AND CORRECf. pLL PROVISIONS OP LAWS AND ORDINANCES GOVERNING TH15 TYPE OF WORK WILL DE <br />COAIPLETED N'ITH \VHETHHR SPECIFIED HEREW OR NOT. THE GRANi1NG OF A PL•RM1T DOLS NOT PRES[JpSE <br />TO GIVE AUTHORI'1'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />2LLGULATING CONSTRUCf10N OR 7}iE PERFORMANCE OF CONSTRUCI'ION. THAT 1 AM AU7'FiORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORAI TfiL WOIU: POR WF�31CH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />�-.z� - y3 <br />Dalc <br />r•� ;' 3 . �1s' <br />�i«•vv asron <br />