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I <br /> � <br /> � <br /> i APPLICATION FOR ELECTRICAL PERnqIT <br /> � <br /> CITY OF EVERETT <br /> BUILDING DiVISiON <br /> 3200 CEDAR STREET I <br /> � EVERETT, WA 98201 , J ( <br /> � � ii <br /> i ' . - _ � <br /> C ili�;,, ��i c,� Ci�l il� � <br /> � <br /> Owoer I '- � �' ��-1 <br /> r "� � � '•: <br /> ! Mail Address Cit �;• , -, l � ' �-, <br /> Y State/Zip Phone . <br /> � Tenant Mail Address <br /> City State/Zip Phone <br /> �/�li LiLi`.y_ Fl.--�r�._ �-,,'.I::i ;-7{t�tr,_ ":� ' <br /> &Iectrical Contractor ;:�(<l,��`�l , ', •�'(;> '� ; )i,-':-, ? <br /> Mail Address City State/Zi `"-'I';; --.-. ��� 'A <br /> ���___T____ p Phooe State License No. <br /> ����� <br /> Contract Pnce of Work <br /> Proposed Use of Building <br /> �"c ..�- /�u[' <br /> . /�}�. /SY Y�}� C,.,- [.r:j . 'c L//liri/���'/'G..-y�- <br /> Project Address <br /> Description of Work to Be Done: / / ' '1- - <br /> /L/ /-' i . ' J <br /> / � �- _J�Y��� l <br /> NOTE:WqC 296-46-140 REQUIRES 1'FIpT PLANS FOR ELECTRiCAL WORK AT EDUCATTONAL, WgTI7'UTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APpLiCANTS WI7'H SUCH JOBS <br /> MUST SHOW THE STATE qppROVED PLANS BEFORE CITY OF EVERET PERMIT W!LL BE ISSUED. <br /> N07'E:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAULES, <br /> NOT RACEWqYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS qppLICATION AND KNOW'CHE SM4E TO BE TRUE <br /> AND CORRECT, pLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WI'('H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY O'CHER STATE 01t LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LP W 1g,27 RCW AND 296.200 WAC. <br /> X <br /> ��.� .r,� �// !�--/:%� .� <br /> Signaturo ;/ ' '�` � � -� F� Jf <br /> Date �`� <br /> �bC.'i`=� <br /> elecapp(,f�5l93) <br />