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u� � <br /> ^. <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> ctrY oF avExsrr <br /> Bi7IL.DING DMSION <br /> 3200 CEDAR STREET <br /> E��+�',WA 98201 <br /> 259-8810 <br /> �SECEe7 NeM <br /> �'O� Mail Addrcss <br /> C�ty Smte/Zip Phone <br /> Tmmt Mail Address . <br /> City State/Zip Phone <br /> L►1'l. � <br /> Electrical Contractor Mail Address Ciry State/Zi Phone <br /> P State License No. <br /> Z�00 � S/ '/CE <br /> Contr •Price of Work Proposed Use of Bwldmg <br /> S5� �� 7�j �ii <br /> Projxt Address '— <br /> Description of Work to Be Done: 7�(� qn,� SEpyicE��0(!¢/f /�j/1V4� T � <br /> NOTE:WAC 296�6-140 REQUIREg 't'[;qT PLANS FOR fiLECTRICpL,WpgK pT EDUCATIONAL, WSTITUTIONAL OR <br /> AEALTH CARE FACII1ifES gg qppROVED BY THE STATE OF WASHINGTON. APPLICANTS WITFJ SUCH JOBS <br /> MUST SHOW Tf�STATE APpROVED PLANS BEFORE CITY OF EVERET PERMIT V✓ILL HE ISSUED. <br /> NOTE:W[RING IN NON-DWELLINGS IS RfiQUI1tED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ qND EXAMINED THIS APPL]CATION AND KNOW'�SAME TO BE TRUE <br /> AND CORREC('. ALL PROVISIONS OF LAWS AND ORDINqNCES GOVERNING TIIIS TYpE OF WORK WII_,L gg <br /> ��Mpi.�TED WITIi WIiETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE pU'CHpRITy TO VIOLA'I'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LqW <br /> REGULATING CONS'CRUCTION OR THE PERFORMANCE OF CONSTRUGTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TfiIS PROPERTY TO PERFORM TH&WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRpCi'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X / <br /> � 3��y�'� �'-�_. <br /> Si nature F� <br /> Date <br /> u3�� <br /> �te�err�isi9,. <br />