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APPLICATION FOR ELECTRICAL PERMIT <br /> C1TY OF EVEREIT <br /> BUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98TAI <br /> 259-8810 <br /> La�ct...,/��a �'4;rv! �//)-/�Ac��F�c �i�n.7� lu�x:r S��oi �.r)-°cz7. <br /> Owna M�il Address City S4te/Zip Phone <br /> �['.�� <br /> Tm�nt Mnil Address . City S4telZip Phone <br /> Jih MQ.v,v�.rl� � P�='r. /�! .2.1� Ei�Mo,�ay 5�a}o 77y�9[�l fninARlG� �M <br /> Electtical ContruWt Mail Addrcss Ciry S4te/Zip Phone State Licwse TIo. <br /> a o� "= �-Fz'%�� L, <br /> Conhact Price of Work Proposed Use of Building <br /> `�.�� y �AC�FiC - <br /> Projxt Address � <br /> Description of Wodc w Be Dona �.._J'� � �e�v� ��+-++� � � �� <br /> ' NOTE:WAC 296�6-140 REQUIRES THAT PLANS FOR ELECIRICAL WORK AT EDUCATIONAL, INST1TfTIIONAL OR <br /> HEALTH CARE FACIIITIES BE APPROVED BY Tf� STATE OF WASHWGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WII.L BE ISSUED. <br /> NOTE:WIItINf3 W NON-DWELLINOS iS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARfi CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERT'IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TI�SAMfi TO BE TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNWG Tf�S 'I'YPE OF WORK WW. BE <br /> COMPLETED W1Tfi WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINC3 OF A PERMTf DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL I.AW <br /> REC3ULATING CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AU1'HORIZED BY Tf� <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WfCA <br /> Tf�STATE CUNTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X /L •� ���-��S 3 <br /> Fee <br /> Si [ure Date <br /> �/a�-� <br /> d<cepp(!/SI9J) <br />