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�� <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETf,WA 98201 <br /> 259-8810 <br /> Avis ���vs,�ci i�.�3 o�s �� a� ���oi �5.2- 7/9y <br /> �� Mail Address City Smte/Zip Phone <br /> Tenant Mail Address City Smte/ZiP Phone <br /> �r.f�wNn� ,��c. �JF 5' <br /> Elxtncal Contractor Mail Address City State/Zip Phone State License No. <br /> S/CIe <br /> Contnct Price of Woric Proposed Use of Building <br /> _ /333 ovy�Cr A!/� <br /> Projxt Address <br /> Description of Work to Be Done: _/�,��� .EX.T/.fTJ.tJC7 �0C1 �1�i� .�i�(LI'(� �j�-tf.. <br /> �F.-cv ion ,¢,t�.o od�GG,��� r,P�Qvi(,� <br /> NOTE:WAC 296-46-140�REQUIRES'CHqT PLANS FOR ELEGTRICAL WORK AT EDUCATIONAL, INSTITUT]ONAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY TFIE STATE OF WASHINGTON. APPLICANTS WITH SUQi IOBS <br /> MUSf SHOW TFffi STATE APpROVED PLANS BEFORE C1TY OF EVERET PERWIIT WII,L BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> 1 HEREBY CERITFY THAT I HAV&READ AND fiXAMINED THIS APPLICATION AND KNOW Tf�SAME TO BE TRUE <br /> AND CORRECT. AL.L, pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLETbD W1TH WFiETF(ER SPECIFIED HEREIN OR NOT. THE GRANTlNG OF A PERMIT DOES NOT PRESUME <br /> TO GNE pUT'f;ORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUGTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY Tf� <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.2(10 WAC. <br /> X o <br /> ' � �_ �.�- 9y F�zs' a' <br /> � � Signaturo � � � Date <br /> �.�3ai <br /> elecepp(!/SN? <br />