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APPLICATION FOR ELECTRICAL PERMIT <br /> C11'Y OF EVERETT <br /> BUILDR•IG DMSION <br /> 3200 CEDAR STREET <br /> EVE12E'IT, WA 98201 <br /> rc�s5 L.e.sl��e / ��- �Gy,j 25s-aero <br /> ,�n�h�I����� �7�� ��i�t...S NF,�, _'J_l✓�n �y l�f l�l(l0[1�—C.JI�- 'l �nJ? �0 7��=�� <br /> �"'D8� Mail Address <br /> C��Y ' StaWZ'p Phone <br /> Twant . . . . Mail Address . . �/ !J Cit . . <br /> �y r� Y State/Zip Yhone <br /> �'oREG/� ELF��Cnr� 1 �r� R' � IS�1)2 S�' �/r � ., 3 � ,��Gry E o4�R�cT <br /> Elxtncal Contractor Ma�l Address C�ty State/Z�p Phone <br /> �� O 6 State License No. <br /> Contract Price of Work �� � <br /> Proposed[Jse of Bmld�ng <br /> � i 5 E ��w re�a� � �2 F�%G��- <br /> Pro�ect Address � <br /> Description of Work to Be Dona t>/a (C� �GC)l-( �)�O <br /> NOTE:WAC 296�6-140 REQ[7IREg'('gAT PLANS FOR ELE(:TRICAL WORK AT EDUCATIONAL, IIdSTfIVT'IONAL OR <br /> HEALTH CARE FACILTTIES IIE APPROVED BY TI�E STATE OF WASffiNGTON. pPPLICANTS WITH SUCH JOBS <br /> MUST SHOW TI�STATE APPROVED PLANS BEFORE CITY' OF EVERET pERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN M'r.`I'A'..LIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THqT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THB SAME TO BE TRUE <br /> AND CORRECT, pLL PFOVISIONS OF LAWS AND ORDINPNCES GOVERNING THIS TYPE OF WORK W[L,L BL <br /> COMPLETED WITH WI�ETHFR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AjJTHpRITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL I.pW <br /> REGULATING CONSTRUCTION OR THE PERFORMMCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF TI-IIS PROPERTY TO PERFORM TJ[E WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CON'I'RpGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X , <br /> Sig e � F� <br /> Date <br /> � <br /> y�3�� <br /> �i«err C�i��sa> <br />