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%�� <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERE7T ����� <br /> BIIILDING DIVISION � <br /> 3200 CEDAR STREET <br /> E���TT. WA 98201 <br /> 259-881p <br /> ' —�EG",r ,t�/ :Z�`I F. I W, Si– <br /> Owner Ma�l Address `��5'��j � �Y�� h <br /> C�ty State/Z�p � <br /> Phone <br /> Tenant � � - � Mail Address <br /> Ciry State/Zip Phone <br /> fi�xtrical Contractor Mail Addmss ��'� <br /> City State/Zip Phone S4te Ii�n�No. <br /> �Bt�Qv <br /> Contract Price of Work Proposed Use of Building <br /> S�oG /aT �yfj!/E �EST <br /> Pro�xt Address <br /> Description of Work to Be Dona ,(J���(�/p„E 1,�_n <br /> aE�✓i�F <br /> NOTE:WqC Z96-46-140 REQUIREg '�qT PLANS FOR ELECTRI�,qT,WOg�{ AT EDUCATTONAL, INS111'UTTONAL OR <br /> �AI-TH CARE FACII.IT[ES gg qppROVED BY THE STATE OF WASHINGTON. ApPLICANT'S WI7'H SUCH JOBS <br /> MUST SHOW T'HE STATE pppROVED PLANS BEFORE CITy OF EVEREI'pgRlv(��yn,L BE ISSUED. <br /> NOTE:WIRING IN NON-DWELI,II•(GS IS 1tEQUIRED TO BE IN METALLIC RACEP/AYS (MC AND qC� qg� CAg�, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY TI;qT I HAVE REqD M(n EXAMINED THIS APp�CATTON AND KNOW TF�SAIv�E TO BE TRUE <br /> AND CORRECT, pLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOR[( �yII,L Bg <br /> COMPLETBD yJ17'g W�ER SPECIFIF.D iiEREIN OR NOT. THE GRANTING pF A PERMIT DOES NOT PRES(JMg <br /> TO GNE A�pRTTy r0 VIOLA'f'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LqW <br /> REGULAI'[NG CONSTRUCTION OR 1'$E PERFORMqNCE OF CONSTRUCTION. THAT I AM AUTT[pRIZED HY THE <br /> �WNER OF 7'HIS PROPERTY TO PERFORM TIiE WpI�J( FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 1g,27 gCV✓,q�(D Zy6 Z00 H,AC. <br /> X <br /> .e.�F-.�...- �. <br /> Signature �_ �P �' 3 p� �Spp <br /> ate <br /> decepp(!/SNJ) <br />