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� � <br /> APPLICATION FOR ELECTRICAL PERMIT _ <br /> C[TY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 9F201 <br /> I 259-8810 <br /> �oq e r l/ �io c � �� z y �G .� �� �i� 7�� .�� ,�;�° <br /> (�5'9•3y/P <br /> Owner Mail Address City Sta i� Phone <br /> Tenant Mail Address City State/Zip Phooe <br /> —�l�6!�`'Qh� <br /> Elxtrical Concractor Mail Address City State/Zip Phone SGte License No. <br /> Contract Price of Work Proposed Use o(Bui�i g �¢ <br /> �{g � 7 VP I� er � /- llie- L i�rE� <br /> Pro�mt Address <br /> Ducription of Work to Be Done: _ �t 7t,Q.�l�_�p— �j.� �� ��e'�2� � <br /> ��V�c .r,�.� .fi'�/u _Z4su�' —fT � <br /> NOTE:WAC 296-46440 RfiQUIRES '('HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU170NAL OR <br /> HEALTH CARE FACILITIES BE APYROVED HY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW 1'HE STATE APPROVED PLANS BEFORE CITY OF EYEhET PERMIT WiLL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED 7'O BE IN METALLIC RACEWAYS (MC AND AC, ARE 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 CORREC[', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BS <br /> WMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PER1,�I7' DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR 'fHE PERFORMANCE OF CONSTRUCTION. 7'HAT I AM AUTHORiZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOR'vi THE VVORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> -� U 7�'� /� - �s - 1993 F� 30 <br /> Signature . Da�e <br /> ��/O <br /> decepp(!/5/9J`. <br />