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APPLICATION FOR ELECTRICAL PERMIT N 37�� <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EyERET'1',WA 98201 259-8810 <br /> �� lu� 9F12-ZU l'v5`�-(d�� <br /> � ,�, i �No�Jp,, Ryio - Gv b�Nf NIlrVyr�/�L.� <br /> Owaer ail Address City � State/Z�p Phone <br /> Twant Mail Address City State/Zip Phoae <br /> Electrical Contractor Mail dress City StatelZip Phone Stafe License No. <br /> v L S�� <br /> Contract Price of ork Proposed Use of Building <br /> � <br /> / '� a 7 �AfT�1 AY/N P l//ru/ L�Y/�s o�r/.srsT'� <br /> Project Address <br /> Description of Work ta Be Done: To �vr par,4r�. Po�..P r TO B»/Ld N�P 4J /�°'�O <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WSTITUTIONAL OR <br /> HEALTH CARE FACII.ITIES Ee APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MiJST SAOW TF�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WII-L BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> pND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED W1TH WHEI'HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> OWNER OF THIS PROPERTY TO PER ORM THE WORKCFOR WH CH APPLIICOATION IS MADE AND IOCOMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � � �°° <br /> X LiiG���o�,� /P �� �-�� y�i F��— <br /> Signamre Date <br /> elecnPP Ol5/9T <br />