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CITY OF EVERETT <br />BUII.DING DIVISION <br />3200 CEDAR STRBET <br />EVERETI', WA 98201 <br />owaW <br />�-� <br />Tenant <br />w <br />�r <br />APPLICATION FOR ELECT A��� J� <br />.; � <br />��' <br />f � <br />- _ JAN 21 i ;q� 1 �'.� <br />Mai! Address <br />Mail Address <br />SC� �. <br />Elatrical Coahactor fail Address <br />�(ilbx �9cS1� �/ <br />Con nct Pnce of Work <br />Projxt Addrcss <br />Description of Work to Be Done: <br />...... <br />CITY OF EVERETT <br />Public Works Dep�, <br />�i�,�jl,�j p,e f�pf �10.1 <br />- f:� <br />v City State/Zip <br />Citv <br />1�� n ManmP <br />City StatdZip <br />Proposed Ux of Building <br />��___.� <br />�� <br />: � <br />Phone <br />StatelZip phune <br />�C�Sht4CSl�-►��t� <br />Phone State Liceose No. <br />NOTE; WAC 296-46_I4p'1t�Qi�g�g �AT PLANS FOR ELECTItICqI, W7gg AT EDUCATIONAL, INSTIT[Tf10NAL OR <br />HEALTFI CA1tE FACII,IT[ES gg pppROVED BY TH& STATE OF WASHINGTON. APPLICAN'I'S WTT'H SUCH JOBS <br />MUST SHOW THE STATE pppROVED PLANS BEFORE C1TY OF EVERET PERMIT V1RLL BE ISSUED. <br />NOTE; WIR]WG IJ.7 NON-DIVHLLIIdGS IS REQUIRfiD TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY'I'f;qT I HAVE READ AND EXAMWED THIS APPLICATTON AND IWpW THE Sq2�qE TO BE TRUE <br />AND CORREC(', qT,[, pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF W�lg�{ �I,L gg <br />COMPLE'('Ep WPi'I; ��gR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNL AUTHORI'('y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATfNG CONSTRUCTTpN OR THE PERFORMqNCE OF CONSTRIICTION. THAT I AM AUTFIORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I CON,PLY WITH <br />Tf� STATE CONTRACfORS LAW 18.27 RCW AND 296,2pp Wq�, <br />L'ClG <br />�33�3 <br />�� 1 <br />clecepp (7/5/97) <br />