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�,.e, <br /> A.k'PLIC.ATION FOR ELECTRICAL PERMIT <br /> CITy OF EVERETI' <br /> BUII,DING DMSION <br /> 3200 CEDAR STFtEET <br /> E��TT, WA 98201 <br /> 259-8810 <br /> wrJ � �tit���,���z 1��7b � �i�c c�� 1� �,���� �JH <br /> Owner Mazl Address K���� u��ro��� <br /> C�ry State/Zip Phone <br /> Tenant Mail Address <br /> Ciry State/Zip Phone <br /> Electrical Contractor Mail Address <br /> C'�y Sta�e�ZiP Phone State License No. <br /> Contract Price of Work £ � ---�',!..-� a x�/.��y` <br /> �j�, Proposed Use of Bu�ldmg �7 <br /> G1U/O1 b�ntlz£1=£� 1 4 �� <br /> Pro�ect Address <br /> Descriptian of Work to Be Done: � n,»,n�.,,, . � �j ' n <br /> 1 /'.liw�`l._ ,l.C.h � ,Q c� <br /> �.nA.�,,�: oon�K, o , l� ,r �� fl <br /> NOTE:WqC 296-06-140 REQUIggg'�AT Pi_ANS FOR ELECTRICqi,�yOgg AT EDUCATIONAL, INSTITUTIONAL OR <br /> 1IEAI-TN CARE FACILITIFS gg qppROVEll BY '� STATE OF WASHINGTON. APPLICANTS WI'('H SUCH JOBS <br /> MUST SHOW'�STAT'E pppROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS RfiQUIRED TO BE IN METALLIC RACEWAYS (IvIC AND AC, ARE CABLES, <br /> NOT RACEWAyS). <br /> I HEREBY CERTIFY TT-IqT I HAVE READ AND EXAMINED THIS APPLICATION AND IWOW THE SAME TO BE TRUE <br /> AND CORREC7', qLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLfiTED WI'('H WHgT'HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF T'H1S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI1'H <br /> THE STATE CONTRACTORS LAW 18.i7 RCW AND 296.200 WpC, <br /> X � i' <br /> il,a-w,�-� 9�'0 9 � <br /> Signaturo �_ Fee <br /> � Date <br /> N �V��/ <br /> dccepP O/5/9J) <br />