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APPLICATION FOR�L�CTRICAL PERMIT <br /> �t���l <br /> CITY OF EVERL•'fi' � <br /> BUiI.Di17G DIVISION <br /> 3200 CLDAR STREEf <br /> EVERETT,WA 96201 <br /> 259-8810 <br /> L-��/O/!C/ ( -/�c� ������� �'� f%i7� ��+ �'��P�vC <br /> Owner Mail Addrrss City SbtdZip Fhone <br /> Tenanl � �fail Address Ciry SmldZip Phonc <br /> TE-// <br /> Elxtriul Conlnclor Mail Addrtu City Slale/Zip Phone Slnte Licenw No. <br /> S� r�00.�I<i�p <br /> Contnct Pnce of Work A� Pmposed Use o(Building <br /> ss�a Is�-.�',-;s� .�+ Gs <br /> Projxt Addresc <br /> new/-10 r � <br /> Descrip�ion of Work�o De Done:_ UsL �i//C//i l <br /> NO'IE:WAC 296-46-140 REQUIRES THpT FLANS FOR ELECfRICAL WORK A'C L•DUCATIONAL,INSTITUI'IONAL OR <br /> HEALTFI CARE PACILISIES BE APPROVED BY THE STATE OF WASHINGTON. APPUCAN75 WITH SUCH )OBS <br /> MUST SI{OW THE STATE APPROVED FLANS BEFORE CITY OF EVERET PERN.IT WILL BE iSSUED. <br /> NOTE:\VfitING IN NON-DWELLINGS IS REQUIRED TO HE IN METALI.IC RACEWAYS(MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREUY CERTIFY THAT 1 HAVE READ AND EXAMINGD THIS APPLICATION AND KNOW THE SM7E TO BG 7RUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE O� WORK WILL BL <br /> COAfPLETED 1VITIi WHGTHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A PERAIR DOLS NOT PRLSUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCI'!0Y OR THE FGRFORMANCE OF CONSTRUCI'ION. THAT I AM AUTNORIZHD NY THE <br /> OWNER OF THIS PROPER7'Y TO PERFORM THF.WORK FOR WHICH APPLICATION IS MAUE AND 1 COMPLY WI'fH <br /> 'fHE STATIi CONTRACfORS LAN' i 8.27 RCW AND 296.200 WAC. <br /> � ��/�/�"��r/� 7-��-s3 F� s35� <br /> Signa�urc Dalc <br /> eleaCP P/SN7) <br />