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� <br />APPLICATION FOR ELECTRICAL PERMIT <br />C1TY OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET' <br />E��TT, WA 98201 <br />►Yl A RY L.�xl L-q r� B� <br />owaa <br />3yo3 n, ^ ssr�� <br />Mai1 qddrcss <br />Twant . Mail Addrcss . <br />Electrical Contractor Mail Addresa <br />� ZDD'—' <br />coo�e �;� oewo� <br />Project Address <br />Descripfiou of Work W Be Dona <br />eu�Tr wA- <br />City State/Zip <br />Ciry s4te/Zip <br />City ' State/ZiP P6one <br />C�AfL4�iE <br />Proposed Use of Building <br />:�r/Ku3 /N A/F�� � <br />/^/�J <br />i <br />� <br />: � <br />zs2 szo3 <br />Phone <br />Phoae <br />Shte License No. <br />NOTE: WAC 296-46-140 �RHQUIREg 'I�qT p�S FOR ELECfRICAL Wpgg AT EDUCAT[ONAL, INSTTNfIONAL OR <br />H&AI.Tti CARE FACIIITIES gg qppROVED BY'THE STATE OF WASHINGTON. APpLICqN'tg W�g SUCH JOBS <br />MUST SHOW 'iTiE STATE ApPROVED PLWS BEFORE CP('y OF EVERE7' pggluilT Wi�y gE ISSUED. <br />VOT&; Wg�p,TG IN NON-DWELLWGS IS REQiJIRED TO BE IN M't'TALLIC RACEWAYS (MC AND AC, ARE CpgLES� <br />NOT RACEWAYS). <br />I H&REBY CERTIFY THAT I HAV& hEpD qND EXAMINGD THIS APPLiCAT(ON ANp KI10W TFIE SA1Kfi TO BE TRUfi <br />�D CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNWG T�S Typg OF WORK WII,I, BE <br />C�MpL�� W1TIi Wfi6T'HER SPECIFIED HERfiW OR NOT. THE GRMITING DF A PERMIT DOES NOT PRESiJMg <br />TD GNE AUTHORTIY TO V70LA'(� �R �pNCEL THE pROVISIONS OF ANy OTHER STAT6 OR LOCAL Lq�y <br />REGULA7TNG COTISTRUCTION OR THE pggppgMqHCE OF CONSTRUCITON. TfiqT !,qM AUTHORIZED BY THE <br />�WNER OF Tf�S PROpERTY TO PERFORM THE Wpgl{ FOR WHICH APPL,[CpT[ON IS MADE AND I COMPLY WITH <br />TAE STATE CONTRqCI'ORS LAW 18.27 RCW ,q►1D 296.200 WAC. <br />X___- "�� �-s � /��� ,G' %- lv - i � <br />Date <br />/�/�-/ �. <br />Fce � <br />��«�vr �isro3� <br />.�trawoi��i <br />