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A.PPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERE'I'I' <br /> BIIILDING DMSION <br /> 3200 CEDAR STREET <br /> fiVERETT,WA 98201 <br /> 259-8810 <br /> .�c�r �oH,�S <br /> �'°°* Mul Address City Smte/ZiP Phone <br /> « <br /> Tea�nt " Mail Addrcss . <br /> City State/ZiP Phone <br /> —L/h• 3 <br /> Elxtrical Contracror Mail Addrcss City State/Zip Phone SGte Liceau No. <br /> � � � <br /> Contwct Pria of Work Proposed Use of Bmlding <br /> .572�e ��� `i/ • . <br /> Projxt pddress <br /> Description of Work to Be Dona�� �p S[�1��F <br /> ��iidi- !�✓�i�K � �12/N. <br /> �= sAa� <br /> NOTE:WAC 296-46-140�REQUIRES THqT PLANS FOR ELECTRICAL WORIi AT EDUCATIONAL, INSIITITITONAL OR <br /> H&ALTH CARE FACII.ITIES BE qPPROVED BY THE STATE OF WASHINGTON. APPLICANfS WI1'H SUCH JOBS <br /> MUST SHOW TI�STAT6 APPROVED PLANS BEFORE CITY OF EVERET p�Rivil7'WII,L gE ISSUED. <br /> NOTE:WIR]NC, IN NON-DWELLINGS IS REQUIRSD TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). . <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRLT& <br /> AND CORRECI', ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WII,I, BE <br /> COMPLETED WITg Wlig'I'HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRES[7ME <br /> TO GIV& AUTHORITY TO VIOLATB OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LpW <br /> REGULATING CONSTRUCfION OR THE PfiRFpRMqNCE OF CONSTRUCTION. THAT I AM AUTI;ORIZED BY TH6 <br /> OWNER OF THIS PROPERTY TO PERFORM THB WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> Tf�STATE CONTRAC'I'ORS LAW 18.27 RCW AND 296.200 WqC. <br /> X <br /> /Z / <br /> ignature F�— Z�-� <br /> D te <br /> �U�%3 <br /> o�eoarr C��sro7> <br />