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�. <br />►r r <br /> ��_ .� <br /> � � <br /> ;�. <br /> �_ --t� <br /> �,. � ,,,,, <br /> APPLICATION FOR ELECTRICAL P�RNIIT ��j�� (n . <br /> ��y <br /> A 1.9�x CII'Y OF EVERETT <br /> 9 y y BUII.DING DIVISION <br /> � 3200 CEDAR STREET <br /> y � EVERETT,WA 98201 259-8810 <br /> " y z ot59-Q�A3 <br /> C�1 y� � <br /> ��� ul ) C� fiao� � � 4 ? � I�l � <br /> � � ��P s � c�<<���� �.�,�1 . ���d� I <br /> �� Owner Mail Address City State/Z�p Phone <br /> N L�1 C� <br /> (�]Y �] <br /> ~yyr p.�� Tenant . . . . Mail Address . City Stale/Zip � � Phone <br /> t" yY. <br /> HH <br /> � �y EI� C oractor Mail Address City Statc/Zip P6one Slatc Liceuse No. <br /> � � � { � <br /> �y Contra{'t Pricc of Work ?roposcd Usc of IIuilding <br /> !. <br /> -- - ��I r�' VY�U � S�- <br /> � Projcct Address � <br /> Description o(Work to Be Done: ���«�'� �f U � L� U � vv'`�. <br /> �� . <br /> � <br /> �� <br /> NO'I'G:WAC 296-46-140 RL'QUIRL•S THAT PLANS FOR ELECTRICAL WORK AT LDUCATTONAL. INSTI'Ci7'1TONAL OR <br /> HEALTH CARE FACII.ITIES F3E APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WTH SUCH JOBS <br /> '�''� MUST SHON TIIE STATE MPROVLD PLANS➢EFORE CIT]' OP FVLRET PL•RMIT WILL BE ISSIIED. <br /> ' NOTE:WIILING IN NON-DWLLLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> ��,,,� NOT RACEWAYS). <br /> I HEREBY CERTIFY 7'HAT I HAVE READ AND EXAMINL•D'fHI5 APPLICA'�ION AND KNOW THL SAME TO BE TRTJE <br /> M�'= AND CORRECI'. ALL PROVISIONS 02� I.AWS AND OStDINANCES GO�ERMNG THIS T'YPE OF WORK WII.L BE <br /> COMPLS'CED WI7'H WIIETHER SPECIFIL-D HEREIN OR NOT. THE GRAn1'ING OF A PERMPT DOES NOT PRLSUME <br /> TO GIVE AUTf�10RITY TO VIOLATE OR CANCGL THE YROVISIONS OP ANY CTHER STATE OR LOCAL LAW <br /> �..�� REGULATING CONSTRUC7'ION OR 7'HE PEiiPORMANCE OF CONS7'RUCTION. TI1AT I AM AUTHORIZED IIY THE <br /> .,�I I OWNER OF THIS PROPLRTY TO PLRFORM THE WORK FOR WHIC[1 APPLICATION 15 MADEi AND I COivfPLY WITII <br /> THE STATL CONTf2ACIORS LAW 18.27 RCW AND 29G.200 WAC. <br /> .. <br /> X ,1��,,.�:-(���r ,��-�, °� . <br /> �}-- r - �/ 3 F���— I <br /> SionaWre . Dale <br /> ciccepp(J/5/9J) <br />