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A.PPLICATION FOR �LECTRICAL PERMIT , <br /> uo�`� � <br /> CITY OF EVERETT <br /> BUILDING DIVISiON <br /> 3200 CEDAR STREET <br /> EVERE'IT, WA 98201 <br /> 259-8810 <br /> .l�e,�u,� �.—la� SOF �. U;.,.N R; jI- <br /> Owner MailAddress � �"�� • '� �g�3 �.39-$n81 <br /> City State/Zip P6one <br /> Tenant . . . . Mail Address . . Cit <br /> Y Smte/Zip P6one <br /> 0�•tie� <br /> Electrical Contractor Mail Address City State/Zip pLooe <br /> SGte License No. <br /> �Sv n^-, <br /> �' c � --A' c_ <br /> Contract Price of Work Proposed Usc of Building <br /> � O� L� U /L.J � �,Q Q.. ,4/�- . �✓GK l� <br /> Projxt AddrP,ss <br /> Ducriptiou of Work to Be Dona ct c�e� � h rea(.�,v-�� Y- �„� �, �_=� �� � �� <br /> n__rT—�� rG bLhC�CY' LD.�S r...,c"�'ro� � �,Y-h� � �v � C "i � �f'.� l � s�ZO , <br /> Ltai � <br /> _/ �1 !I�^'� .1 tJ r � t� O' / �, 1 V <br /> NOTE:W�C 296-06-140 RLQUIREg 1-fiqT PLANS FOR ELECTRICAL WqRi{AT EDUCA1TOIvAL, INSTITUT70NAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY THB STA"IB OF WASI�INGTON. APPLICANTS WITIi SUCH JOBS <br /> MUST SHOW 7'HE STATE APpROVED PI ANS BEFORE CITY OF EVERET PERMi'I'WII,L BE ISSUED. <br /> N�TE:R7RING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I IiEREBY CERTIFY THAT I HAVE READ pN(D EXAMINED THIS APPLICATION AND ICI•70W THE SAME TO BE TRUE <br /> ANP �URRECT. ALL PROViSIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILi. BE <br /> COMPLETED WITH VVHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRfiSUME <br /> TO GNE AU? gpRIT'y TO VIOLA'I'E OR CAyCEL THE PROVISIONS OF ANy OTHER STATE OR LOCAL LAW <br /> REGULA7';NG CONSTRUCITON OR THE PERPORMANCE OF CONSTRUCTION. THAT I AM qU'I'IIpR1ZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TE�WpRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACI'ORS LAW 1d.27 RCW AND 296.200 WAC. <br /> /- `� � -�-- <br /> "-�^-�--� �11_�c�- � � �l �o� <br /> S�gnature <br /> � �G� �S F��— <br /> Dale <br /> elecepp()/S/97) <br />