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APPLICATION FOR ELECTRICAL PERMIT <br /> CCI'Y OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> $yEREI'I', WA 98201 259-8810 <br /> � �l� „�I<��2/S �3o1D - � l�Pu� k'�.��e �.� Ed �� ys��3 as,�-ay�a <br /> pwner Mail Address City State/Z�p Y6one <br /> �,�,�� A.� � 60 � -�. .. <br /> Tenant Mail Address City State/Zip Phone <br /> c :� � "lw �,��c d/f o�,<�c �, �A 9�� S -�/�9 /��GiyEy 9�F <br /> Electrical ontracWr Mail Address City 2�tate/Zip Phooe State License No. <br /> /[�S'�O��v//i�� <br /> Contract Price of Work Proposed Use of Building <br /> 3�20 �- ��u/ ��� f�ie, <br /> Pcoject Address � , <br /> Description of Work ta Be Done: %rL�P,('-P /� <br /> �'P,�(J 'G fJ %00 f��hs0 TG v20�J' /9�+ y� <br /> NOTE:WAC 296-46-140 REQUIRES'CHAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTI'fU'ITONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHING'fON. APP�ICANTS WITfi SUCH JOBS <br /> MUS i SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PER1vITT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I FIEREBY CERTIFY THAT I HAVE READ AND EXAMiNED THIS APPLIr_p77oN ATTD K'�OW THE SAME TO BE TRUE <br /> AND CORRECI'. ALL PROViSIQ:�S OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPF_CiF:ED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLA7E OR CANCEL THE PROVISIONS OP ANY OTHER STATE OR LOCAL LAW <br /> REGULATTNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED SY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHiCH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � .. <br /> ,S Fee��-�`�O�> <br /> Signature . Dal <br /> ��a �� <br /> ciccopp(3ISr97, <br />