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-1 <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,Wq gg201 <br /> 259-8810 <br /> L�L Su; Iders� �D71 � ��qrt�y V1,� �� � <br /> � y �" +✓u 9�Dy ?90 �l�i� <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address Ciry State/Zip Phooe <br /> t?�S �c rn r� P,O�Box 79g Ma�vsu�/JP �va 98d70 �`j�6/ /�S�!€ ��� <br /> Elxtncal ContncWr MaJ Address City State/Zip Phoae State Licease No. <br /> __ � Ti ntF d- ��/'i�L `,��12 <br /> Contract Price of Work Proposed Use of Building <br /> 7�23 2 �-Q �� SE ��,� � <br /> Project Address <br /> Description of Work to Be Done: <br /> (P4 AMP tifrGr (f�p l�oc�e <br /> NOTE:WAC 296-46-140 REQUIP,ES 1'HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUITONAL OR <br /> HEALTH CARE FACII,I't'IES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITi-I SUCH JOBS <br /> MUST SHOW TF�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WII,L BE ISSUED. <br /> NOTE:WIRITIG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TAIS AFPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREGT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANi'ING OF A PERMTT DOES NOT PRESUME <br /> TO GPlE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS QF ANY OTHER STATE OR LOCAL LAW <br /> . REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRU(.TION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TI-IIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND i COMPLY WITH <br /> THE STATE CONTRACT'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ' <br /> �'lil. ' ltaCcD-' 3,IO- %� F� ���°O <br /> Signature , Date <br /> �3��5 �.�ad� Fo� T,S� � <br /> eiecepp(7�5/97) <br />