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CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STR�ET <br />EVERETT, WA 98201 <br />%3� <br />Own�r <br />}% H7{' <br />APPLICATION I� OR EL�CTRICAL PERMIT <br />, �,> /s o �� /9 � <br />Mail Address <br />Teoan�l � � Mail Addre,es <br />C L= w E� PC%/"/ C <br />Electrical Contractor <br />Contract Price of Work <br />�9.: `�! ✓ 1zi / h /4 <br />Project Address <br />Addrcss <br />�'�1�9,'i; '�i G✓�i�Tj t�vz <br />�3�aa <br />259•8810 <br />-56� <, <br />City State/Zip Phone <br />City Slste/Zip � � Phonr. <br />CEap <br />SfPl�-QH s .��f'//57 � EWEL�rtp79FJV <br />City State/Zip Phooe <br />�1 � <br />Proposed Use of Building <br />State Liceose No. <br />/, <br />Description of Work to Be Done: Gl D�� �'i��y ��� `�'�% ��,srl+ .i.� f- ✓,:.� <br />/ , � � <br />6L��/� !•,� (<,s�%� � .�.'!� ✓�,!/lxJ-('� <br />� <br />NOTL: WAC 296-4G-140 REQJIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIUNAL, INSTITUT70NAL OR <br />HEALTii CARE PACILITIES BE APPROVED BY THE STATE OF WASIiiNGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW TFIE STATE APPROVED PLANS BEFORE C[TY OF EVERET PERMIT WILL BE iSSUEll. <br />NOTn: WIRING IN NON•DWELLINGS IS REQUIRED TO HE IN METALLiC RACEWAYS (MC AND AC, ARE CAbLES, <br />NOT RACER'AYS). <br />i HEREI3Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND Cd1tRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVL-RNING THIS TYPE OF WORK WILL BE <br />COMPLEfED WITH WHETHER SPECIFiED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AU7'HORITY TO VIOLATE OR CANCEi. THE PROVIS[ONS OF ANY OTliER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORN;ANCE OF CONS7nUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PRUPERTY TO PERFORM THE WORK FnR WHICH APPLICATION IS MADE AND I COMPLY W:TH <br />THE STATE CONTRAC'I'ORS LAW 18.27 RCW AND 29G.200 WAC. <br />ci <br />Datc <br />����OO <br />Fee <br />decnpp (!/5/9?) <br />