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M y <br /> C�H <br /> �Hy <br /> H�� <br /> �e o <br /> � <br /> �a � ,._„ <br /> N <br /> � x <br /> �e APPLICATION FOR �L�CTRICAL PERMIT <br /> ��g <br /> (�]Y (CC] <br /> � hi� CITY OF EVERETT <br /> �i H BUILDING DI�'ISION <br /> �y�"� y 3200 CEDAR STREET <br /> p�y EVERETT,WA 9820I <br /> �j,7�n'� �%���,'�' �5�� _ 7c} /�' <br /> .��� �h' � �/ ( �� �'Y1� G 1��I�Q \ � \/cr(� <br /> Owner Mail Address City State/Zip Phooe <br /> �� <br /> Tenent Mail Address City Stete/Zip Phooe <br /> � �. C ^ r �-�AMl L-F_ <br /> ' - , �� � . 'lD � � � o�olS1-_vc, �i� 9�i7o3 3�`��1i r�ltl �l(� <br /> Electrical Contractor `�C Mail Address Ciry State/Zip Phone State License No. <br /> / ����.� ^ 1 7�r�y (��d� �� `/� ��� <br /> Contract Price oF Work Proposed Use of BuilJing <br /> '�t � � vZ � /�[ D r- �O� <br /> Project Address <br /> 1�' Description of Work to Be Done: � � � •n ��L � r' � � �'�/� � ^"' �� <br /> ' 1 � C e X � � r �S � � �c/9�0 � S �Y� (I� V 4 1 <br /> '�' ,� O U �1 � !1 I P ,I� {� G�,L \G � (� % C-- �' � <br /> � <br /> ' NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> � HEALTH CARE FACILIT[FS HE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH ]OBS <br /> '�' MUST SHOW THE STATE AYPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> '=1 NOT RACEWAYS). <br /> aI 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAMH TO BE TRUE <br /> �1 AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 'fHIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHE'fHER SPGCIFIED HEREIN OR NOT. 7'HE GRANTING OF A PERMIT DOES NOT PRESUM. <br /> � TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> 1� REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> — OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH APPL[CATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WA�. <br /> I / � � <br /> X �S � �:3 F��n..<,-, <br /> . gnaturo � aln . <br /> _��"'I�`l� <br /> clecepp(Jl519J) <br />