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APPLICATION FOR ELECTRICAL PERMIT y� <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETf,WA 98201 <br /> 259-8810 <br /> a+�r : Rs. Re�sl�ey . <br /> HevJ��JG �Ie�� �MG. te �linx 7Ya3 EvEntrt � A 1�Ao1 �s?-�0�'� <br /> �a Mail Address City State/Zip Phone <br /> Teaao� Mail Addrcss . Ciry State/Zip Phone <br /> �. <br /> L�c►]Y�P� <br /> Elcetrical ContncWr Mail Addrcss City State/Zip Phone Stah License No. <br /> �. <br /> ae-a �O�MT/N L <br /> Contract Price of Work Proposed Use of Building <br /> - J�S� I�OAT�N AYrNY� <br /> Projxt Address <br /> Descripciou of Work co Be Done: tiMr•n�av A�u�M1 I�eF <br /> . ! <br /> NOTE:WAC 296-46-140 REQ[JIRES 'I'HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUITONAL OR <br /> HEALTH CARE FACII,IITHS BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANfS WiTH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE C1TY OF EVERET PERNl1T WII,L BE ISSUED. <br /> NOT&:WIItING W NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLFS, <br /> NOT RACEWAYS). <br /> I HEREBY CER7'!FY THAT I HAVE READ AND EXAMINED THIS APPLiCATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECI', qLL pROVISIONS OF LAWS AND ORDINANCES GOVEItNING THIS TYPE OF WORK WILL BE <br /> COMPLEI'ED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORTi'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULAITNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY T'HE <br /> OWNER OF THIS PROPERTY TO PERFORM TF�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STATE CONTRpCfORS LAW 18.27 RCW AND 296.200 WqC. <br /> X $ � <br /> .Q�i1,�+...,..� 3-ir- s y F��— <br /> Signatur� Date <br /> decepF(!IS/971 <br />