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x t�"'tl <br />[=1 [s1 <br />pC.' � H <br />�Hx�n <br />yxH <br />�H� <br />"�-0HM <br />f/, H <br />� O ts7 <br />Hl7 <br />OH <br />H�g <br />�j] V (Ci <br />9HL�1 <br />y <br />t H H <br />N <br />ghy <br />��� <br />xyti <br />tiOf/� <br />APPLIC:�TION I'OR �L�CTRICe1L P�I211IiT <br />CITY OF LVLRETI' <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />259-8810 <br />���/��r,� S !%u�cl� �.���[c04J ScAT7/�� �,�, ��Fl60 7I�-/JD / <br />Owncr Mail Address City State/Z�p Phone <br />I�1�. > i:J� LC'L��,L TT G(l/l- (�" L'J <br />S//� 7 � <br />Teoant � �� - Mail Address Ciry State/Zip - Phooe <br />��,e� s�d�e n� �:3<�r <br />Llectrical Contractor Mail AdJress City State/Zip Phone State Liccose Vo. <br />`�� �% S O � ,�c � 'rt.{ - <br />Conlract Priec of Work Proposed Usc of IIuilding <br />�71 � �. � rLD - EvEILt J7' U,ii!SN. <br />project Address � <br />Description oFWork to Be Done: /�rV�f3CE� OC J /hSC /Sc=�X U.•/"� %Z � vl ���. <br />��� �� Y�cv, ` 1�C�li�/�— <br />I �� <br />� � � <br />NOTE: \VAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATTONAL, INSTI"I'UTIONAL OR <br />HEALTH CARE FACILTTIES BE APPROVED BY T1;E STATL OF NASHINGTON. APPLICANTS WITH SUCH IOBS <br />MUST SHOW TEiL STA7'E MPROVED PLANS BEFORE CiTY OF EVERET PERA4IT \VILL BE ISSUED. <br />NOTE: \VIRING IN NON-DRBLLiNGS IS REQUIRED TO BE IN ML•TALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAhfINGD THIS APPLICATION AND KNOW THE SAT4E TO BL• TRUH <br />AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVER^]ING THIS TYPE OF 1VORR \VILL BE <br />COMPLL'IED \VITH WHETHL-R SPECIFIED HEREIN OR NOT. 1'HE GRAN1'!NG OF A PER�11T DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS uF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONS7nUCTION OR THE PLRFORMANCE OP CGNSTRUCTION. TI�iAT I Ah1 AUTHORIZED BY 1'HG <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK fOR NHICH APPLICATION IS MADL• AND I COMPLY NITH <br />THE STA'GE CONTRACTORS LAW 18.27 RCW AND 29G.200 NAC. <br />. �� � <br />�� 2 G � t—_ <br />Eignamro <br />Datc <br />i; <br />�i«,rr �is,n� <br />