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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETf <br />gUILDING DMSION <br />3200 CEDAR STREET <br />EyBgS(T, WA 98201 <br />259-8810 <br />Owner Mail Address <br />City State/Zip Phone <br />.� �s s E f� ��-'S <br />5 7a/ 5 <br />Tenant <br />Electriwl Contractor <br />Mail Address <br />Mail Addrcss <br />--�I d�7F l=U�'f�l� � 7%�'S �'� <br />Contract Price of Work � <br />.�7�/ S � S ��� _ <br />Project Address , <br />Description of Work to Be Done: <br />- - LO <br />City <br />Ciry State/Zip <br />L�� Npwoc� `[ E <br />proposed Use of Building <br />6 <br />StatclZip <br />Phone <br />� �, <br />�,4j'.. <br />P6one <br />State License No. <br />SF',e U <br />HEALTkiACARE FACILdTIESS ��PR VED BY THE S ATE FO WASHINGTON UAPPLOICANT3NWIrT�U � BS <br />MUST SHOW TE� S'CATE APPROVED PLANS BEFORE CITY OF EVERE'I' PfiRM1T WII-L BE ISSUED. <br />NOTE: WIRIIQG IN NON-DWEI-I-INGS IS REQLIIRED TO BE IN METALI-IC RACEWAYS (MC ANT� AC� '� C��• <br />NOT RACEWAYS)• <br />I HEREBY CERTIFI' THf+T I HAVE READ AND EXAMINED TH1S APPLICATION AND KNO��V Tfi� SAME TO BE TRUE <br />COMPLE"CED WI'tH WHET�ER SPECIFTED HE NDOR N�T. THE GRAN'CING OF A PERMIT DOES NOT PRF.SUtdS <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P'""'TSIONS OF ANY OTHER STATE OR LOCAL L1W <br />OWNER OF THISOPROPERTY TO PERFORM RTHE WORKCFOR WH CH AP� TION IS MADE AND IOCOMPLY WITH <br />THE STATE CONTRAC7'ORS LAW 16.27 RCW AND 296.200 WAC• <br />a�gna�urc <br />/ <br />Fee,� <br />��u O� ciccepp(!/5�9]) <br />