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APPLICATION FOR�L�CTRICAL PGR1biIT <br /> CITY OF EVERETT � <br /> BUILDiNG DIVISION <br /> 3200 CE�AR SiREET <br /> EVEREI'I',WA gg201 <br /> 259-88f0 <br /> �r0/���Cir{'� /�/�/iG��-/i?�,/ // �-//ct .�- �1'onY 6�ii �a�3 <br /> Owner � MaJ AdJrcss C�ry S�ntdZiP P6one <br /> Teu�nt . .. . Mail AdJress . City SmWZiP � P600e <br /> T="ii <br /> Electrinl Conlnctor Mail Address City SGIdZip Phone Shle License No. <br /> �r' .3c.'1iJ.y�+ <br /> Contnct{�riu of WorV: y,�L�� -Isf �C,�- Propoud Usc of DuJd�ng <br /> n r '/ ` _ <br /> �� -� l+�+/! fi Y L�e4+/c �.['TD�7 <br /> Pm�ectAddress <br /> Destnp�io�of\Vo�kloUcDone: ///l/��( � � <br /> KOTE:WqC 296-t6d40 REQUiRES THqT PLANS FOR ELECfRICAL WORK AT EDUCA7'IONAL,1NSTITUTIONAI.OR <br /> HGALTH CARE FACILR'!ES F:E APpROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH IODS <br /> MUST SH JW THE STATG APP:20VED P!J�NS DEFORE CI'fY OF EVEREI'PLRMIT WILL DE ISSUED. <br /> NOTG:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN MLTALLIC RACEWAYS(A1C AND AC,ARE CABLFS, <br /> NOT RACCWAYS). <br /> 1}iEREB1'CL•RTIFY THAT I HAVE READ AND EXA�.fINED THIS APPLICATION AND KryOW THE SAME TO HE 7RUE <br /> AND CORRECT, qLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYpE OF WORK WILL BL• <br /> COMFLETED N'ITI;WHETHLR SPECIPIED HEREIN OR NOT. THE GRAMWG OF A PERMIT DOES NOT PRGSUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCGL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULp}ING CONSTRUCTION OR THE PERFORMqMCG OF CONSTFiUC170N. THAT i AM pU7'gpRIyED BY THE <br /> OWNGR M TH1S PROPERTY TO PERFORM THE WORK FOR WHICH nPPLICATION 15 MADE AND I COMPLY W[TH <br /> THE STATH CONTRpCi'ORS LAW 18.27 RCW AND 256.200 W.qC. <br /> X �/�//� / �-� <br /> r' � � /, -/l- i� r•« <br /> Signalunrt , Dale <br /> :�/i".�le� <br /> �i<o.vr P�Sror <br />