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..� . <br /> �' , .; . <br /> APPLICATION FOR ELECTRICAL P�l,�`t"�'I" �D 1�f�s <br /> CiTY OF EVERETT APR 2Q 1 <br /> BUILDING DMSION ��Ty"�F-••............ <br /> E VE �RETT WA 8201 Public `y�ks�pt....� <br /> 259-8810 <br /> VIACOM CABLE 14870 NE 95TH STREET REDMOND 98052 745-8400 <br /> Owner Mail Address City State/Zip Phone <br /> Twaot Mail Addre;s . City State/ZiP Phone ' <br /> OWNER <br /> Elcetrical Contractor Mail Addrcss Ciry State/Zip Phone State License No. <br /> Cou!ract Price of Work Proposed Use of Building ' <br /> VI�ICOM <br /> Pmject Address <br /> Dacriptioa of Work to Be Done: CAYV POWER SUPPLY - BLANKTT PERMIT PER ATTACHED LISTING <br /> Viacan will call when readv for insaection alora with space N at 620 112 ST SE <br /> NOTE:WAC 296-46-140 REQURtES THAT PLANS FOR ELEGTAICAL WORK AT iiDUGATTONAL, INSTITUI'[ONAL OR <br /> HEALTH CARE FACILITIES BE APPROVEA BY TI-IE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PFRMIT WiLL 9E ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN ML•TALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY TfiAT I HAVE REAA AND EXAMINED THIS APPLICATION AND KNOW Tf�SAME TO BE TRUE <br /> AND CORRECf, ALL PROVISIONS nF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITFI WHETHER SPECIFIED HEREIN OR NOT. THE GRANTTNG OF A PERAf1T DOES NOT YRESUME <br /> TO, GNE AUTHORITY TO VIOLATF_ OR CANCEL 'CHE PROVISIONS OF ANY OTHER SrATE OR LOCAI. L.4W <br /> REGULATING CONSTRUCTION OR TfiE PERFOR�fANCE OF CONSIRUCTION. TkAT I AM AUTHORIZED 3�' THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMi iY WTT'H <br /> THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 Wp,C. <br /> ( 5 svcs ? $30) <br /> X <br /> � <br /> ��° u` � `1" ,5 �LI Fee��� . <br /> Signature , Date <br /> ciccepp(!/S/n? <br />