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APPLICATION FOR �LECTRICAL PERMIT <br />CiT'1' OF EVEREIT <br />BUILDING DMSION <br />3200 CEDAR STR6gT <br />fiVE1tETT, WA 98201 <br />�—� / p <br />.�7/( �n (/��' `L. O r� / Ln ,P� i/i/i.t �� �/ �� � � � � 7 � 259-8810 <br />�/ 1�� � r��uL,C �a.�/-� l�a Di <br />, <br />� � ��..- � <br />� 1�1.�[_cf 1.1/ �; a<� �1 - 4/+ �.�� .� ��'i � nf,c l(�A ���/� P <br />Owner Mail Address <br />CrtY State/Zip P6oue <br />Te:�aot <br />Ccntract Price of Work <br />ti..�i�! �� �/� <br />Proixt Address <br />Descriplion of Work to Be Dooe: <br />Address <br />Addrcss <br />City <br />City <br />Proposed Use of Building <br />S�atc/Zip Phone <br />�7U �i—c' %c� '�` <br />Phoae State License No. <br />NOTE: WpC 296�6-140 RfiQUIRE$ T'HAT PLANS FOR ELECTRICAL WORR pY EDUCATIONAL, INSTiTUTIONAL OR <br />HEALTfi CARE FACILITTES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W� SUCH JOBS <br />MUST SHOW 1'EIE STATE APpROVED PLANS BEFORE CITY OF EVERET PERMIT WILL HE ISSUED. <br />NOTE; WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, AR6 CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORitECT, qI,L pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITg WHE'('ggR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AiJTHpRITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHLF STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY T}IE <br />OWNER OF THIS PROPERTY TO PbRFORM THE WORK FOR WHICH Al.'PLICAT[ON IS MADE AND I COMPLY WITH <br />THE STATE CON1RpC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br />�� <br />Signature <br />�� —� '�\� <br />Date <br />YL/. C.: � <br />�i«err C�ni9» <br />