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V°{ �a�� ~ _. <br /> � APPLICATION FOR ELECTRICAL PERMIT <br /> C[TY OF EVERETT <br /> BUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,V�'A 98201 259-8810 <br /> �d' EL�� (-�ow.ES <br /> pN.o� Mail Address City State/Z�p P6one <br /> Twant Mail Addmss . Gry State/Zip P6one <br /> L.w�3 <br /> Elcetrical ContncWr Mail Addrcss City State/Zip Phone State License No. <br /> s6 L�/E 'f�w� <br /> Contnet Price of Work Proposed Uu of Building <br /> 5 y Z 6 I 5r 8f{. In�Eyr <br /> Project Address ' <br /> Description of Mork to Be Done: <br /> NOTE:WAC 296�6-140 REQUIRES THAT PLANS FOR ELECI'RICAL WORK AT EDUCATIONAL. INST1TUTi0NAL OR <br /> HEALTH CAhE FACQ.TTIES BE APPROVED BY Tf� STATE (1F WASHINGTON. APPLICANTS WTTH SUCH JOBS <br /> MUST SHOW THE STAT'E APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WII.L BE ISSUED. <br /> NOTE:WIFtING IN NON-DWELLINGS IS REQUIRBD TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CF.RTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREGT. ALL PROVISIONS `1F LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE Ok LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TAAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THfi WORK FOR WHICIi APPLICATION IS MADE AND I COMPLY WITI� <br /> Tf�STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC, <br /> X 7 , • l��, �`Ie�Gt� �o�t�9.5 F� <br /> Signature . Da� <br /> > <br /> a..Jl � <br /> elecePP(I/5/9)) <br />