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( " <br /> APPLICATION rOR�L�CTRICAL P�RMIT <br /> CI7Y OF EVERETI � <br /> ➢UILDING DIVISION <br /> 3200 CL•DAR STRLET <br /> LVEREf'i',WA 98201 <br /> 259�8810 <br /> V,or.� ('v,u�scoco� abo2 oa►�s ,4✓c 6Kaee�r, wR 98�0� �sa �d�o(o <br /> Owncr Mail Address City SmtdZip Phonc <br /> Tcnanl � � Mail Addrets City SutdZip � Phouc <br /> y.s?" d37s-130E`�AVC.n�I.'fl01 <br /> �,�c sti.s�,.,S.inrC. 6�cc�vuE-, e,��a 9Pm�f .7n6-SYI-n'�J :L'fY-ALSTA7�ID3 � <br /> L•Irctrial Contracror Mail Address Cily SIaldZip Phooe Sufe license No. <br /> S�� <br /> Conlract Pricc of Work Proposed Uw o(BuilJiny <br /> S�i4M�� �Q �' jQ-l?A[l� <br /> r�o�«c naa« <br /> Ducription o(\Vork to IIc Done: SEC[t i xV .CY cTEM <br /> NOTE:WAC 29G-06d40 REQUfRES THAT PLANS FOR ELECfR1CAL WORK AT EDUCA7'IONAL,INSIT7VI70NAL OR <br /> HEALTH CARE FAC[LITIE•S BE APPROVED IIY THL STATE OF WASHINGTON. APPL(CANI'S K7TH SUCH IOBS <br /> MUST SHOW THE STATE APPROI'ED YLANS U[PORL Cl'f'Y OF EVL•RET PL•RMIT WILL IIE ISSUED. <br /> NOTE:WIRING IN NON-DWELLiNGS IS REQUIRL•D TO 6E IN METALLIC RACE•WAYS(MC AND AC, ARE CADLES, <br /> NOTRACEWAYS). <br /> 1 Fi[R[OY CERTIFY TI;A7'1 HAVE READ AND EXAMINLD THIS APPllCAT10N AND iCI�OW THE SA1.fL•TO Bb TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7'YPE OF WORK WILL DG <br /> CO\1PLL•TED N'ITH WHEI'HER SPECIFIGD H[REIN OR NOT.THL GRAMWG OF A PERMCf DOES NOT PRESUML• <br /> TO GIVG AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> }tEGULATING CONSTRUCI'ION OR THE PERFORMANCE OF CONSTRUCI70N. THAT 1 AM AUTHORIZL•D BY THE <br /> O�Wi [R OF THIS PROPE-RTY TO FERFORM THE WORK FOR WHICI{APPLICATION IS DfADL AND 1 COMPLY WfCH <br /> TIIG STATG CONTRACTORS LAW 18.27 RCW AND 296.200 WqC. <br /> ��� .�C � F���3a,c�� <br /> Signalure Dale <br /> ��,�SiS <br /> =�«•rc P�sro7) <br />