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'S3 �� " ,—. <br /> �G��� APPLICATION FOR ELECTRICAL PE <br /> RMIT <br /> CITY OF EVERET'(' <br /> BUIL.DING DIVISION <br /> 3200 CEDAR STREET <br /> E��TT, WA 98201 <br /> 259-8810 <br /> . �ELECT �� <br /> � �OOf Mai1 Addrcss <br /> CitY State/Zip P600e <br /> Tenant Mail Address <br /> CitY Slate/Zip Phone <br /> Elactrical Contnctor Mail qddress City Sm�Zkip� Phone <br /> �i State License No. <br /> //SO,00 �� <br /> Contnct Pnce of Work Proposed Use of Bwldmg <br /> 5533 /Sr �� li/�� <br /> Pro�xt Address <br /> Drscription of Work to Be Done: __ ,�/Ew ,(��� Z�,,�� �� <br /> NOTE:WAC 296-46-140 REQiJIREg 1'HqT PLANS FOR ELECTRICAI_WORK AT EDUCATIONAL, INSTITU'IZONAL OR <br /> 1�ALTH CARE FACILITIES Bg qppROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MIJST SHOW TF�STATE APPROVED PLANS BfiFORE CITY OF EVERE'I'pggM]'�'W�LL BE ISSUED. <br /> NOTE:W(RING IN NON-DWEL,L,INGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I FIEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> ANL CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPg OF WORK WII,L BE <br /> COMPLETED WITI-1 WI-IETHER SPECIFIED HEREIN OR NOT. THE GRAN'(TNG OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL I,pW <br /> REGCfLATING 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 /> THH STATE CONTRpCTORS LAW 18,27 RCW AND 296.200 WAC. <br /> X • <br /> .�-Ge�..»_ Q. Yyj,�,�,� <br /> Signatur� �/B/��_. Fee_35.00 <br /> Date <br /> �/3c�y� <br /> �i�oerv oisio, <br />