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crrr or• rvextrr <br />UUILDiNG DIVISION <br />3200 CGDAR STRHET <br />L•VEREfT, WA 98201 <br />Owncr <br />Tcnnnl <br />Elxtrial Conlnctor <br />APPLICAT;ON FOR �L�CTI2ICAL P�RMIT <br />� 17Vo�.5� �si�� <br />Mail Addrrss <br />Meil Address <br />l.{� p <br />X. �9-U./.4iiX 1/S'/ <br />Mail Addrcss Ci <br />City <br />�(O �C7 '� ..G[�il-• <br />CoNncl Price o( Work Pm�osed Use of Duilding <br />dY/��Z v��G*-e—•u.41 /��"� <br />Proiat Addmss . <br />�lOH�3 <br />�^� <br />259-88f0 <br />�'��z3 <br />Phooe <br />S�ntdZip Phone <br />� `�jJ�' G Sa� <br />: 33v Yi�i4��/�t.S�E//�l� <br />Phooe SUte Licenu No. <br />NOTE: WAC 296-06440 REQUIRES TE:AT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HGALTH CARE FACILITIES HE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH )OBS <br />MUST SHOW THE STA7'E APPROVED PLANS BEFORE CITY OF EVERET PERMI'f WILL BE ISSUED. <br />NOTG: WIRING IN NON-DWELLiNGS IS REQUIRED TO BG IN METALLIC RACEWAYS (MC AND AC, ARE CABLL•S, <br />NOT RACEWAYS). <br />11jERL0Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL FROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK H7LL BE <br />CO�IPLGTGD \VITH WH["CHER SPECIFIGD HL•REIN OR NOT. THE GRANTING OF A PERMiT DOL•S NOT PRESUME <br />TO GIVG AUTIIORITY T� VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER SYATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR TAE PE•RFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY THE <br />OWNER OP THIS FROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS AiADE AND [ COMPLY WITH <br />THE STATE CONIRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� p0 <br />Fee � <br />