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� � <br /> APPLICATION FOR �LECTRICAL, P�RNIIT <br /> CCCY OF EVERE'IT <br /> BUII.DING DLVISION <br /> 3200 CEDAR STREET <br /> EyERETT. WA 98201 259-B810 <br /> T hornas �owe// 570/ / S r �� S� Everr m 9� ,2U 3 355 - 79 73 <br /> pN,o�� Mail AdJress City Sute/Zip Phoae <br /> Tenaat n � . Mai1 Address City Sute/Zip . Phone <br /> .��# - E/`��- <br /> Elxtriul Contnctor Mail Address Gty StatdZip. Phone State I.icense No. <br /> -� l 85 �'o S F�. <br /> Cantract Price oE Work Proposed L'se of Auilding <br /> ,570� /s-r ldt� S v re{�� I�A 9 8'10,3 <br /> Project Address <br /> Dacription of Work to He Donc: <br /> �iJZt) 1/D�� �CG SU• S�^- <br /> � � � �� � ' �—Z 6 <br /> � <br /> �`-- <br /> NOTc:WAC 296�6-140 REQUIRES 'CHAT PL.WS FOR EL=_CCRICAl.WORK AT EDUCATIONAL, INSTITCPCIONAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY T[� STATE OF ��'ASHINGTON. APPLICAM'S W1TH SUCH JOBS <br /> MUST SHOW Tf� STATE AFPROVED PLANS BEFORE CCIY OF E�/ERET PERhSIT WILL BE ISSUED. <br /> NOTE:WIIZING W NON-DWELLINGS IS REQUIRED TO BE IN ME'CALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY TF�IAT I HA�'E REP.D AND HX•41`ifNED T'c?�5 AP�LICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC:. ALL PROVISIONS OF LAWS AND ORDWANCES GOVEIWING THIS TYPE OF WORK WII.L HE <br /> COMPLETED WITH WF�"TFIER SPECIFIED HERE[2J OR NOT. T:�ie GRANTL`1G OF A PERMIT DOES NOT PRESUME• <br /> TO GIVE AU'CFiORI'CY TO VIOLA'CE OR CANCEL THE PROVISIONS OF ANY OTIiER STA'fE OR LOCAL LAW <br /> REGUlATING CONSTRUCITON OR 7'HE PERFORht.WCE OF CONSTRUCI'ION. THAT I AM AVI�EfORIZED BY TF� <br /> OWNER OF THI� PROPERIY TO PERFORhi TF�WORK FOR�VF?ICH APPL[CATION IS MADE AND I COMPLY WCI'fi <br /> 'I'HE$7'ATE CONTRAGTORS LAW 18.27 RCW AND 296.200 1VAC. . <br /> �u.cw. rn��2�-_ i- � � -9y ' r� 30.0�_ - <br /> SignaNre' Dale <br /> ' <br /> i �3:�3 <br /> eltcepp(' <br />