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o - <br /> APPLICATION POR�L�CTRICAL PERMIT <br /> CITY OF EVERETI' <br /> BUILDING DIVISION ' <br /> 3200 CEDAR STREL•T <br /> EVEREf1',WA 9820I <br /> 259-8810 <br /> IIClC6 LGlJAI�L'/ �5�.� �MEn.M/T O�T. E✓E.tE7T <br /> Owocr Mail Address City ShtdZip Phone <br /> Tcnanl �� � �M�il Address . - City SGte/Zip � Phoor. <br /> .Lk.-3 <br /> Elxlrical Cuntnctor Afail Addrus City SmtdZip Phone Sule Licenso No. . <br /> Contract Price o(Work Proposed Use o(IIuildiug <br /> �fS�.i3 Ru.E�r.o�/r .�vtivF <br /> Projcct Address . <br /> Ducription of Work lo Bc Dane. dE.t,aB(E__ k//,{E 1wo .!/Ea/ �oa�a6 <br /> NOTE:WAC 296-06-140 RLQUIRES THqT PLANS POR ELLCI'RICAL WORK AT EDUCATIONAL,INSTfNfIONAL OR <br /> HEALTIi CNtE FACII.IT[ES HE APPROVL•D BY THF, SfATE OF WnSHINGTON. APPLICANTS WTffI SUCH ]OBS � <br /> MUST SHOW TfS STATE APPROVL•D PLANS F3EFORE CCIY OF EVERES PL•RTi1T WII.L HE ISSUED. <br /> NOTE:WIRING IN NON-DWELLWGS IS REQUIRED TO BE W METALLIC RACGWAYS(MC AND AC,ARE CAIiLES, <br /> NOT RACGWAYS). <br /> I HERE➢Y CERTIFY Tf IAT I HAVe READ AND EXA1�fINED THIS APPLiCA'fiON AND RNOW THfi SAA4E TO DG TRUE <br /> AND CORRLCI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOV&ItNING 7'fll5 TYPL OF WORK W[LL DE• <br /> COMPLiTGD WITH WHETHLR SPECIFfED HERGIN OR NOT.1'HE GRAN'['ING Or A PERMIT DOES NOT FRESUhfE <br /> TO GNC AUTHOWfY TO VIOLATE OR CANCEI. THG PROVISIONS OF ANY Oi1;GR STATE OR LOCAL LAW <br /> REGULA7ING CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCI70N. Tf{AT I AM AUTHORIZED BY THG <br /> OWNER OF THIS PROPPRTY TO PLRFORM Tf�WORIi FOR WHICA APPLICATION IS MADE AND I COMPLY WCCH <br /> 'IHE STA'P�CON17tACTORS LAW 18.27 RCW AND 29G.200 WAC. <br /> X / <br /> Signat�� �.���G 5 D�'�'�— Fee 2�Po <br /> / �;i 7� <br /> du.pp QIS/37) <br />