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APPLICATION I�'OR LL�CTRICAL P�RMIT <br /> crrY or ivExz�-r <br /> IIUILDING DMSION <br /> 3200 CL•DAR STRELT <br /> IiVERL7T, WA 98201 <br /> 259-88Y0 <br /> �S,J�� m �3�� NUi��r.�n (� Ve �vc�rz+f- l�Ul� � ,�01 .�5a 7505 <br /> Owucr Ma�l Address Cuy Stale/Zip Phone <br /> t�►n� <br /> Pcnant Mail Address City Stalc/Z�p Phonc <br /> TI!'lY1P�� ��f'['Fr'7 �r/77U) ����I. Cll/ � � (. 4 [/�/�S � /� /1//UE /�.aA/� <br /> LlcclncalContraclor Ma�lAddress 1����— ��� // _._ <br /> � City 'Statc/Zip I'houc Slatc Liceosc No. <br /> ���� l� S/=/2 <br /> Conlract Pricc of Work Proposcd Usc of Building <br /> � ' � � f�lt�a- 1 R U� ilerz-N- <br /> Projr.ct Address <br /> Drscription of Work lo Bc Donc: TI A YYYX��'. }''(�(�h'�n . <br /> � <br /> � <br /> NOTG:WAC 296-06-140 REQUIRFS T[;AT PLANS POR ELECI'RICAL WORK AT E•DUCATIONAL, INSTffUTIpNpL,pr, <br /> IILALTH CARL FACII.ITIE$ BE APPROVED BY THE STATE OF WASHINGTON. APPLICqNTS W!'('H SUCH JOIIS <br /> MUST SHOW THL• STATE APPROVED PLANS BEPORE CITY OF EVERET PLR1vII'1'WILL BE ISSUED. <br /> NOTG:WIRING IN NON-DWELLINGS IS RLQUIRED TO BE 1N MGTALLIC RACEWAYS (MC AND AC, AItE CABLES, <br /> NOT RACEWAYS). <br /> ] IILRE$y CERTIFY THAT I Hl;V[READ AND EXAMINED TfiIS APPLICATION ANA IWOW THfi SAML TO IIH TRUi; <br /> AND CORREC(', ALL PROVISIONS OP LAWS AND ORDINANCES GOVLRNING THIS TYPE OP WORK WILL Bl: <br /> COMPLETED WITH WHETHLR SPECIPIED HLRLIN OR NOT. THE GRANTING OF A PERMIT DOLS NOT PRLSUM!: <br /> TO GNG qT.iT'HOR]TY TO VIOLATE OR CANCEL THfi PROVISIONS OF ANY OTHER STATE OR LOCAL LA� ' <br /> REGULATING CONSTRUCI'ION OR THL- PERFORMANCE OP CONSTRUGTION. T}]AT I AM AUTIIORIZGD Bl' TIIi: <br /> OWNGR OT THIS PROPERTY TO PE•RPORM TI�L WORK FOR WI�ICIi APPLICATION IS �1ADL AND I COMPLY W1T7 i <br /> THE STATL CONfRACI'ORS LAW 18.27 RCW AND 29G.200 WAC. <br /> �f���� / � ' /I <br /> L/" �—V ���� C/ ��L.J (�)_�_ C�J? Y <br /> r���J��U <br /> ignalurc _ <br /> Da�c <br /> ciccnpp(��5/9J) <br />