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APPLICATION P'OR �L�CTRICAL P�1tMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVEREi'T,WA 98201 <br /> 259-BB10 <br /> �r�n � �N H �"2 �t �.S�vi � 90 3 �ocGe,� -C� ��et �i,�e�, L]` 4�f3o ( �S�e� - 7G7P <br /> Owner Mail AdJress City Slate/Zip Phone <br /> Twaut • � � � Mail Address . . Cily Slale/Zip � Phone <br /> _�y_�auc�v�� .Sl�r•��e,vr /'�y[.��t/SS' /</2.1.(' <br /> EI cal ConkacWr Mail Address Cily Slate/Zip pl�oue State License No. <br /> _�� �J 1"L 0 c�� d-+cl�-2� <br /> Contnct Price of Work ProposeJ Use of Build�•�� <br /> Projoct Address . <br /> Description of Work to Be Done: l /�Q �/o �� ��7 I` [ G!ID <br /> ' NOTE:WAC 296-46-140 RLQUIRES 1'HAT PLANS FOR ELECTRICAL WORK AT .EDUCATIONAL, INST!'f[JTIONA[. OR <br /> TiEALTH CARE FACILITIES BE APPROVED DY 'f1iE STATE OF WASHINGTON. APPLICANTS WITH SUCH ]OBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE C1TY OF EVERET PERMIT WILL IIE ISSUEU. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BG IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACfiWAYS). <br /> I FiEREBY CERTIFY THAT I HAVE READ AND GXAMINED TIiIS APPLICATION ANll KNOW THL SAME TO BE TRUE <br /> AND CORREGT. ALL PROVISIONS OF LAWS AND O}tDINANCES GOVE1tNING THIS TYPE Or WORK WILL BE <br /> COMPLE'fED WITH WHETHER SI'L'CIFILD HGREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATL OR CANCLL TFIE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR T2;G PLRFORMANCE OP CONSTRUCT;ON. THAT I AM AUTHORIZED BY THE <br /> OWNER OP THIS PROPERTY TO PGRFORM TIIG WOR1C POR WI11C[I APPLICATlON IS MAD& AND i COMPLY WITII <br /> THE STATE CONTRACI'ORS LAW 18.27 RCW AND 29G.200 WAC. <br /> " - ,z � � ( l F� 3s°� <br /> Signaturo / Date <br /> � <br /> _���-/ <br /> ei«.�P�rs� <br />