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1 <br />I <br />� <br />� <br />� <br />APPLICATION FOR ELECTRICAL P�RMIT <br />CIi'Y OF EVERETT <br />BUII.DING DNISION <br />3200 CEDAR STREc^T <br />EVERETT, WA 98201 <br />��9N� 1�-�-U c=�✓,GUiGG- <br />O�wer Mail Address City <br />259-8870 <br />�a3 -9�-� <br />State/Zip Phone <br />1% aS2— L�/�/'� <br />p�,v,sF �r v � a�a � %Z 2Aiticv� ec�%�,��7 ��s�� `'' ��- �Y�� <br />Tenant - �� � Mail Address . . City Statc/Zip � Phone <br />95'3� .3i�s-r,ir �c SC, <br />/`K✓!��il�'OM�(1.A� �ci - 'T/ ���-4�rN 337�ou6 �i'!/HoEzu,t�f <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />J1Z(7 d— /.�v$ �`' <br />Conlract Price of Wori: Proposed Use of Building <br />_P'Z/ 2 ��m �-'`t �'✓^��i'l <br />Project Address <br />Description of Work to Be Done: �.�i'�i � 1�/Q ��� L ��A ..,.,�' <br />02 12-e� /�6�1-T/�'1/!�' <br />NOTF: WAC 296-46-140 RLQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE C[TY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 'f0 BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA7TON AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHE'7'HER SPECIFIED HEREIN OR NOT. TH6 GRANTING OF A PERMIT DOES NOT PRESUML <br />TO GIVE AUTHORITY 7'O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY 7'HE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORF: FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signaturo <br />,,2 � � p�a <br />Dale <br />d«arr 0�5�9r <br />