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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETf,WA 98201 259-8810 <br /> C ()A]O R F C� �� (o N L� ti) ��'I I g 12UCKE � A UF �l� �2CT�r �.Sa�-�048 <br /> Owner Mail Address C�ty tate/Zip ruone <br /> Tw�nt Mail Addross City Smte/Zip Phone <br /> G� ;, <br /> Elxtrical ContncWr Mail Address C�ty State/Zip Phooe S4te L.wse No. <br /> ? sin �,v r�s� L <br /> Contnct Price of Work Proposed Use of Building <br /> Project Address <br /> DescriptionofWorkroBeDone: �17D/N G (J//T/ �TS���A �/USTALLlN � <br /> .L/G �rs a �v 5 t�� rc,�/ES <br /> NOTE:WAC'196-46-140 REQUIRES'CH.4T PL�1S FOR ELECiRICAI.WORK AT EDUCATIONAL, INSTINTIONAL OR <br /> FiSALTH CARE FACILTTIFS BE APPROVFD BY THE STATE OP WASHII�IGTON. APPLICANTS WPffi SUCH JOBS <br /> 1RUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WII.L BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQIIIRED TO BE IN METALI-IC RACfiWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TF2E SAMfi TO BE TR'�E <br /> AND CORRECT. ALL PROVISIONS OF LA�'�'S AND ORDWANCES GOVEIWING THIS TYPE OF WOkK WQ.L B� <br /> COMPLEl'ED W1TH WHECHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PzRMIT DOES NOT PPESUML <br /> TO GNE AUTHORITY 'f0 VIOLATE OR CANCEL THF. PROVISIONS OF ANY O'CHER STATE OR LOCAL LAW <br /> REGULATING CONS'I'RUCTION OR TFIE PERFORASANCE OF CONSTRUCTION. TFIAT I AM AUTHORIZED BY 'fHE <br /> OWNER OF THIS PROPERTY TO PERFORIvi THE WORK }'OR WHICH APPLICAT[ON IS MADT M`A I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ,C. L•-� /aZ -/7- S'3 Fa �� <br /> �� r�� Date <br /> Sig aturo � <br /> � elcnpp(3/S/9}` <br />