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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUII,DING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 9.5201 <br /> 259-8810 <br /> c <br /> L� � ����Pns �o7rl �Pr��ee� w�y C�erert� w� 9g�� zyv-i8�� <br /> Owner Ma�l Address `�— City State/ZiP Phone <br /> Tmant Mail Address . Ciry State/ZiP Phone <br /> jZ�S ��-EtiiR-i� ��I, Box 74`l Y�a��.sw%l�e vt% q8.77o 6.5`'/-��6/ SE��-ld'�P5 <br /> Elxtncal Contnctor Mail Address C�ty State/Zip Phoue State License No. <br /> 5FR <br /> Contract Price of Wor�c Proposed Use of Building <br /> �yz� z.� 0� SE l�r <br /> Pro�xt Addrcas <br /> Descriptien of Work to Be Done: W 1��Q �r /t �t Si nq �(/{^�J� <br /> 2Oo�l U� Ser vi�e <br /> NOTE:WAC 296-46-140 REQUIRFS'I'$qT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STA'fH OF WASHINGTON. APPLICANTS WITH SUCA JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO HE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TI�SAME TO BE TRUE <br /> AND CORRECI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVEItNING TI-IIS 'IYPE OF WORK WII.L BE <br /> COMPLETED WITH VVFiETFIgR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNb AiJ'I'HORITY TO VIOLATE OR CANCEL TTIE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTInN 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 WTfH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> cz� <br /> ignature ' Fce �`5 <br /> Date <br /> Y��� <br /> decepP(!/519JJ <br />