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APPLICATIO:�T FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />�I7,ay � <br />259-8810 <br />.bf� E. JAcc+6�st]J — Zi�J �P.C,�..��A �r; w�- ye�� zsz-�sa <br />Owner Matl Address City State/Zip Phooe <br />Teoant � �� � Mail Address . City State/Zip � Phone <br />ES `�� <br />r�Yc,n�.nd¢. E�E'C.. -3�.0� EVB�lI �� L�►ecE7I wµ4B9u• ZS'3-1aG/• 6Ycs►Nssi.�1�.P <br />Electrical Contractor h:ail Addrcss City State/Zip Phone State Licease No. <br />%�• � JP��OEIICE <br />Contract Price of Work Proposed Use of Building <br />Address <br />Description of Work to Be Done: _ e�+-�<� O u r $EQ�VIC� /00 A»r� �o�y� <br />�TISES % C..t P.L.vi t /S.tElOC�� — <br />NOTE: WAC 296�6-140 REQUIRES THAT PLANS FOR ELEC'fRICAL WORK AT EDUCATIONAL, INSTI'I'tJTTONAL OR <br />HEALTH CARE FACILII'fES BE APPROVED BY TF� STATE OF WASHINGT017. APPLICANTS WI1'H SUCH JOBS <br />MUS'C SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACFWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HER�BY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATTON AND KNOW THE S.4ME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. 'I'FIE GRANTING OF A PERMTT DOIsS NOT PRESUME <br />TO GNE AUTHORTTY TO VIOLATE pR CANCEL THE PROVISIONS OF ANY OTHER STATE UR LOCAL LAW <br />REGLiLATTNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 1'HAT I AM AUTFiORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPiICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />io- •/-4s <br />Date <br />O� <br />Fee�_ <br />�i«erv C�isro» <br />