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__._ <br /> ,..� <br /> ,.�,. <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERfi'I'f � <br /> BUILDING DMSION �� G�t�p�� <br />, 3200 CEDAR STREET 1 <br />, EVERETT, WA 98201 S� <br /> f 0l3 / I 1 , �%_. yJ �,f?,zs <br /> � � _ `,i-�,� 2ss-sa�o <br /> I�� � �,l/4 � � n �� ��" 1�,� LS�.d.� �,� ? <br /> �'°0f Mail Address City State/Zip Phone <br /> ���---� Ls . <br /> Tenant Meil Address . <br /> City State/Zip Phone <br /> v`�^�N r ��-e�1 � C Z v Y�`�t� s � W ,tC.�, U <br /> E�a Coatractor Mai1 Address Ciry �/ �� phone <br /> �o( �,vC� � State Licease No.Qrf (J <br /> Contn t Pnce of Work < <� <br /> ) � �� � Proposed Use of Buildmg <br /> �C�"' ,/�/ .- .v <br /> � <br /> n <br /> Pro�ect qdarcss �� <br /> Description of Work to Be Done: __ �/Lv� ��� �� �- / �� � <br /> N01'E:WAC 296-46-140 REQUIRFS'1'HAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEAI-TH CARE FACILITIBS BE APPROVED BY THE STATE OF WASHIIvGTON. APP�C,yN7�g �g SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERivIIT WII,I,gE ISSZIED. <br /> NOTE:W[IUNG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABI,ES, <br />! NOT RACEWAYS). <br />� <br /> I HEREBY CERTIFY 7'I-IqT I HAVE READ AND EXAMINED'CHIS APPLICATION AND IINOW Tf�SAME TO BE TRUE <br /> '�D CQRRECI'• ALL PROVISIONS OF LAWS AND ORDIN.4NCES GOVEiWING THIS TYPE OF WORK WII,I, BE <br /> COMPLETED WITH WHE'fgER SPECIFIED HEREIN OR NCT. THE GRANT[NG OF A PERMIT' DOES NOT PRESUME <br /> TO GNE AU7'HpRI�'y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULA'I'ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WpRI( FOR WF�IICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONIRAC'('ORS LAW 18.27 RCW AND 296.200 WqC, <br /> X !(� i <br /> �.�� l� .� F� <br /> �. -�,�.— <br /> sisr,awre <br /> Date <br /> ����a�� <br /> �i«erv C�isr9r. <br />