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APPLICATION FOR�L�CTRICAL P�R1�IIT <br /> CITY OF EVERETT � . <br /> OUfLDING DIVISION <br /> 3200 CGDAR STREET <br /> L•VLRL•—IT,WA 98201 <br /> 259-8810 <br /> J—r�i ✓� � /-�r�v�� Z 5 2� /�I� ,/� /-v. t1— 2ti.z-oz y� <br /> Owvcr Mail Address Gty StaldZip Phone <br /> /�/�,r � <br /> Tcoant � �� � Mail Address City SIaldZip � Phone <br /> l��Oi1 L <br /> Gleclriwl Contractor Mail Address Cily SlatdZip Phone Sutc Licenu Na. <br /> Hvnu <br /> Contract Price o(Work Proposcd Uu of Duilding <br /> Z 7 z �; M,� /: r".-.,- >l l�.r <br /> Projec[AAdress . <br /> Descriplion af\Vork W➢e Done: /�4 i�✓ r/. - T✓ -. � R X r �� r� i1 M '� <br /> NOTE:11'AC 296-06q40 REQUIRES 7NAT PLANS FOR ELECfRICAL W'ORK AT EDUCA770NAL, INSTITUTIONAL CR <br /> HEALTI� CARG FACILRIES DE APPROVED DY THE 57ATE OF WASHINGTON. APPLICANTS WITH SUCH 10QS <br /> �fUST SHON THC STA7L MPROVL•D PLANS BEFORE CITY OF EVLRET PERMIT WILL BE ISSUED. <br /> `�OTG:WIftING IN NON-DWELLINGS IS REQUIRED TO BE IN MEiALL1C RACEWAYS (MC AND AC, ARE CABI,FS, <br /> NOT RACEWAYS). <br /> 1 NERLDY CERTIFY TI�IAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THG SAME 70 UE 7'RUE <br /> AND CORAECT. ALL PROVIS10N5 OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WiLL HE <br /> CO�iPLGTGD\VITH Wf;ETHER SPECIFIED HEREIN OR NOT, 'I'HE GRANTING OF A PERMI7'DOGS NOT PRL•SUM[ <br /> TO GNL• AUTHORRY TO VIOLATG OR CANCEL THE PROVISIONS OF ANY OTF16R STA7G OR LOCAL LqW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE Of CONSTRUCTION. THAT I ADf AUTHORI2ED BY TI1E <br /> OWNGR OF THIS PROPERTY TO PERFORM THE WORK FOR WIi1CH APPLICATION IS MADG AND 1 COMPLY NRTH <br /> THE STAT&CONTRACTORS LAW 18.27 RCW AND 296,20D WpC. <br /> X �� ��� � <br /> `— , . . ��_. .. � .. /0�2 ��1 � pec .3� <br /> $ignSturc � Dale <br /> �las��� <br /> �. <br /> a«err��sro» <br /> � <br />