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APPLICATION FOR �LECTRICAL PERMIT <br />CI1Y OF EVERETI' <br />IIUILDiNG DIVISION <br />J200 CEDAR STAEEI' <br />EVER�TI, WA 98201 <br />�T <br />� <br />259-8810 <br />Owner Mail Address City SGttlZip Phone <br />fuHtErT //avS��u� /�+�rifrnP�rv <br />Teamt � � � � M5i1 Address � - . City SlstdZip � Phone <br />AUs�z'F' -r rz7d6 <br />MRS'rL`iF4P/?'� L4E�rn'�c I�o ,�OX j�4L Ii�RKtA�+7 LJ� .�9��5'3 $27-77a0 <br />Elxtrical Contnclor Mail Addrcss City State/Zip Phone Smte Liceos� No. <br />(� 77 � �¢? TS <br />Conlract Price of Work Proposul Use of Building <br />i'�� 1 I�4la{L S'r . S(DG� T <br />Projxt Add�ccs <br />Ducription af Work lo He Daoe: N�� FE£TSC 5 -�x Su�3 f� S <br />A¢ytAcE ij�/icc5 r L/btl'r FIxnRC{ N�� �IR -T`� '4"P'"�6�£/ <br />r G6�.fi'.ic t'se RFc�fls <br />NOTE: WAC 296-06-140 REQUIRES THAT PLANS TOR ELECfRICAL WORK AT EDUCAT[ONAL, INSTITVI70NAL OR <br />I�AL7'H CARE FACIIIT[ES BE APPROVED DY THE STATE OF WASHIIJGTOIJ. APPLICANfS WITH SUCH )OBS <br />MUST SHOW Tf� STAI'E A3'PROVED PLANS IIEFORE CITY OF L•VEREC PEFNSIT WII.L BE ISSUED. <br />NOTE: WIRING IN NON-DWELLR'1GS IS REQUIRL•D T(1 BG W hfETALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA710N AND �NOW THE SAME TO DE 1RUG <br />AND CORRECf. ALL PROVISIONS OF IAWS AND ORDINANCES GOVERMNG THIS TYk'E OF WORK WII.L BE <br />COMPLETGT. 'i4lTfi WHEI'F1ER SPEC[F1ED HE?2EIN OR NOT. THE GRAM'ING OF A PERMIT DOES NOT PRESUESE <br />TO GNE AU"HORiTY TO VIO'�.ATE OR CANCEL 7NL• PROVISIONS OF ANY OTfiER STATG OR LOCAL LAW <br />REGUI.ATINC CONSTRUCTION OR 7HE PERFORMANCE OC• CONS'IRUCTION. THA7' I AM AU'1'EiORIZED BY THE <br />OWNER OP "ii15 PROPE•RTY TO PE•RFORM TF� WORK FOR YlI�IICH APPLICATION IS MADE AND I COMPLY N71'H <br />T}IE STATF COM.RACCORS LAW 18.27 RCW AND 296.200 WAC. <br />� 3-zS-r3 Pee43.4S <br />Dale <br />�Y � <br />d«.rr �iSA» <br />