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�, <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT � <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET n <br /> EyHRETP.WA 98201 j r ,� 259-88iU <br /> � N <br /> r5� / Q �p (�� �,� C�^��C�re�fi vt/ti jg ZRO—/�'/� <br /> h(j L UUi �'" �S �1���QYeQ�u'� C�ry State/Zi� Phone <br /> �et Mazl Addrcss <br /> Teuant Mail Address <br /> City State/Zip Phona <br /> tis�,5 �-C�'f�[C. P � pj�' Z� r��yS�(,,� V✓G- �a�i 6��-f36/ /(���*'�ie�� <br /> � <br /> g�xttical ConMctor Mail Address C�ry State/Z�p Phone State License o. <br /> rt',Me� y`(�t('efia� '�f R <br /> Contnct Price of Work Proposed Use of Building <br /> .,�!� L� Or s� �.�� "� — <br /> Projxt Address <br /> Description of Work to Be Done: <br /> 60 /�� U��r Te Po�e <br /> NOTE:WAC 296�6-140 REQUIRES THAT P�-�NS FOR ELECTRICAI-�'VORK AT EDUCATIONAL. INSTIT�7Z'IONAL OR <br /> UI <br /> MU3T SFIOW Tf�STAT'E APPR V�D PLANS BEFORE CTT OF EVERET ERIvITT WII.L E IS�D�H SUCH 70 <br /> T1p'('B;WIRING IN NON-DWELLII`1GS JS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREB7 CER'1TFY THAT I HAVE READ AND EXAMI�ED THIS APPLICATION AND KMOW THE SAME TO BE TI:UE <br /> AND C�RRECT• ALL PROVISiONS OF LAWS AND ORDINANCES GOVEItNING THIS TYPE OF WURK �LL BE <br /> COMPLE'CED WITH WHETF�Tt SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> REGULATTNG�CONSTRUCTION O THE PERFOCRIv1AN E OF CON TRUC7'ION THAT I AM AUTHORI 6D BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE W�RK FOR WHICH APPLICATION IS MADE AND I COMPLY WITA <br /> THE STATE CONTRACT�RS LAW 18.27 RCW AND 296.200 WAC. <br /> � QO <br /> Y ������� S-(D—9� F�� <br /> �' '`' Date <br /> Signaluro <br /> 3 ���i ���� Fn� 1�,s P, <br /> y eleeepP(lI5191) <br />