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APPLICATION FOR ELECTRICAL P�RMIT <br />CCCY OF EVERETT <br />HUILDP.JG DIVISION <br />3200 CEDAR STREET <br />EVEREI'C, Wp 98201 <br />�10W3N <br />� <br />259•88f0 <br />C,r-F�iO Da��64\��OE z.�-,o Mvv.��TEc 8�`1D [—YL��TL lvA- 9��03 3e3-"1�47I <br />Owner Mail Address Ciry Slate/Zip pLane <br />Tenwt <br />Addrcss . <br />SIatJZip . . Phone <br />JG.+Si+eyMB.r I <br />�4+HLq— SLM'� � vOcu.Alr�236LS <br />ElatnwlCooVaetor MalAddress City SUIdZip P6one StateLicenmNo. <br />Conlnct Price af Work <br />GA@-AC.L C:LtS1Uca't�ALI I <br />Pmposed Uu of Huilding <br />��,�a vh�k�l+p� �Iv.�— <br />Projut Address <br />Ducriptian of Work �o Be Dooe: W`�� �T1i`i� 6� <br />� <br />NOTL: WpC 296-06-140 REQUIItES THpT PLANS POR ELECfRICAL WORK AT EDUCATIONAL, INS'fl'1'U'1'fONAL OR� I <br />F�ALTii CARL• FACQ.IT�S UE APPROVED IIY TF� SfpTE OF WASHINGTOtJ. APPLICANTS W1TH SUCH lOHS <br />MUST SHOW'ff� STA7'E APPROVED PLANS BEFORE CR'Y OF EVEEtEI' PERMIT WILL HE ISSUED. �� � � �� �� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED'f0 OE IN ML•TALLIC RACEWAYS (MC AND AC, ARE CABLES, I <br />NOTRACEWAYS). _ <br />I FiEREBY CER1iF1' THAT I HAVE READ AND EXAh11NED TFIIS APPLICA770N AND KNOW 7'EIE SAME TO BE 7RUE <br />.WD CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BB <br />CO�fPLETED \VITfi WIiEf'fiER SPECIFIED H[AE•IN OR NOT. THE GRANTING OF A PERMII' DOGS NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY O'CHER STA7E OR LOCAL LAW <br />REGULATING CONSTRUCfION OR TIiE PERFORMANCE OF CONSTRUCTION. TfiAT I AM AUTHORIZED DY'IHE <br />OWNER OF THIS PROPERTY TO PERFORM TfiE WORK FOR WHICH AF'PLICATION IS MADE AND I COMPLY KTTH <br />THE STA7'E CONIRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />� \ (� <br />� �� W.`"�� Ll ''�O.-c1^� 9 00 <br />�� Fec_�_ <br />SignaWrc . Dalc <br />cl«ePP C�/5/97 <br />