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_ ..., <br /> , APPLICATION I�OR �LECTRICAL P�RMIT <br /> CI1'Y OF EVERETT <br /> ' IIUILDING DMSION I v <br /> 3200 CL�AR STREET �(� <br /> .�'.VERGTT, WA 98201 v <br /> 259-881C <br /> L�c1�C�. rti►�1�o5 v,���f� �rv�RE7 �-�a QS�� �59 3ob6 <br /> Owncr Mail Addrcss City State/Zip P600e <br /> ��� <br /> Tenant � Mail Address City StalelZip Phone <br /> �f/t��L �ltc_ cdnv�l:.�v,ll�, r,✓a. 9��72 7�•S S'o l �,,..v�'�`� <br /> Llectrical ConlracWr Mail Address Cily 'Slale/Zip phona Stalc Licensc No. <br /> �y00 Fa.�.t�i(Y L�l�J.P'�.N�' <br /> Contred Price of Work Proposed U�c of Building <br /> �.�n5 r/;�7� r� l�l, �vf��?f' s,v�.. <br /> � Projxt Address <br /> Description of Work lo Be Done:���' �t4 S� �o X L(/r r/� �2�'Q l{�/Q <br /> ��-n/�� . <br /> NOTE:WAC 296-4G-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATTONAL, INSTTIVTIONAL OR <br /> HEALTH CARE FACII.ITIES HE APPROYED BY THE'STATE OF R'ASHINGTON. APPLICAN'fS WiTH SUCH 70BS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERT�fIT WILL BE ISSUED. <br /> NOTE:WIRiNG IN NON-DWELLiNGS IS REQUIRED TO IIL IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I IiEREBY CER7TFY THAT I HAVE READ AND EXAMINED THIS APPLICATTON AND KNOW THE SAML TO BE TRUL <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOJERNING THIS TYPE OF WORK WILL IIE <br /> COMPLECED WI'I7i WHEI'HER SPECIFIED HEREIN OR NO'f. THE GRANITNG Of A PERMIT DOES NOT PRESUME <br /> TO GiVL AUTHORITY TO VIOLA7'E OR CANCL•L THE PROVISIONS OF ANY Ol'HER STATE OR LOCAL LAR' <br /> ItL•GULATING CONSTRUCI70N OR THE PERFGRMANCE OF CONSTRUCITON. THAT I AM AUTHORIZGD IIY TiiE <br /> �, OWNGR OF THIS PROPERTY TO PERFORM TIiE WORK FOR WHiCH APPLICATION IS MADE AND I COMPLY WITII <br /> ' THE STATE CON7RALTORS LAW 18.27 RCW AND 29G.200 WAC. <br /> r � <br /> "�;��- ���.,.... .��� :� � 7--�� �5- - <br /> Fcc <br /> Signature , Dalc <br /> elecapp p!5197) <br /> f <br />