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C1TY OF LVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />S�i�lT�1 <br />O�wer <br />Tenant <br />A.PPLICATION FGR �LECTRICAL PER11-iIT <br />'J �� /�//�e �t� �. e � �/ } /'!� <br />Mail Address <br />� Mail Address <br />_ 7 <br />Elegtrical Contractor Mail Address <br />fl <br />_�.� 0 0 tl � D r) <br />Contract Price of Work <br />rAN� -C', <br />Pro�ect Address <br />Description of Work to Be Done: /T�C,�( C�� � <br />� <br />i%GvA ��i�. <br />City State/Zip <br />City State/Zip <br />City State/Zip Phoae <br />Proposed Use of Building <br />.U�'1.'r�le_. f,',�r�i� <br />259-8810 <br />'� 3�-•d �'4a <br />Phone <br />Phone <br />State Liceose No. <br />Cl=t <cc�-y�,f <br />NOTE: WAC 296-46-140 REQU[RES 1'HpT PLANS FOR ELECTRIC,�I WORR AT EDUCATIONAL, WSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASffiNGTON. APPLICANTS WTI'H SUCH JOBS <br />MUST SHOW THE STATE APpROVED PLANS BEFORE CITY OF EVERET PERIv1IT WILL BE ISSUED. <br />NOTE: WIRII•!G IN NON-DWEL.I.,INGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CA$LES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT T HAVE R�.4D AND EXAMINED THIS APPLiCATION AND KNOW THE SAME TO BE 7'RUE <br />AND CORRECT', qL,i, pROVISIONS OF LAWS AND ORDINANCES GOVERNING TH1S TYPE OF WORK WJLL BE <br />COMPLETED WIT?-I WHETHER SPECII IED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT[ON. THAT I AM AUTHORIZED BY THE <br />OW, IER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAPL AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signaturo <br />7 � . l :' Fec:_�� O� . <br />Dalc <br />���cePP C!/S/93; <br />