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CTI'Y OF EVERfiTT <br />BUII.DIDJG DMSION <br />3200 CEDAR STREET <br />EVEREIT, WA 967A1 <br />Owna <br />Teoant <br />APi LICATION FOR ELECTRICAL PERMIT <br />Mail Addross <br />Mril Addross <br />Ciry State/Zip <br />Ciry S4le/Zip <br />�,/!�/ <br />_ A✓E' �✓E+�Efr, �,�/I� 4B2ol.ta's'i.`— tY� <br />Elatrica! ContruWr Mail Addrass <br />�L� ��� � <br />Conqact Price of Woric <br />Ciry <br />S4te/Zip Phone <br />Proposed Use of <br />_ 3 9!G ((1'u � �., <br />Pro�ect Address <br />Deacription of Work to Be Done: <br />Phone <br />Phone <br />a�s aiy2 �P <br />S4ta licmae No. <br />NOTE: WAC 296-46-140 REQUIREg T'[;qT PLANS FOR ELECTRICAL WORK AT EDUCATION'qL, INS11TfTiTONAL OR <br />HfiAL.TH CARE FACII,iTIES gg pppROVED BY Tf� STATE OF WASFIINGTON. APPLTCANTS WiTfi SUCH JOBS <br />MUST SHOW TFIE STATE APpROVED PLANS BEFORE C1TY OF EVERET pERMTf WII,L gE ISSUED. <br />NOT&; W[ItIN� IN NON-DWEL[,INGS IS REQUIRfiD TO BE IN METnLLIC RACEWAYS (MC AND AC, ARE CABLE$, <br />NOT RACEWAYS). <br />I iiHREBY CERTIFY TiIAT I HAVE REqD AND EXAMWED THIS AP.'.>LiCATTON AND IWOW Tf� SAME TO Bfi TRUE <br />AND CORRECf'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERMNG THIS TYP& OF WORK WII.L BE <br />COMPLS'('Bp �+,Z'fH W�'HER SPECIFIED HEREIN OR NO'I'. THE GRANTING OF A PERMIT DOES NOT PRESUMfi <br />TO GNE AUTHORTTY TO VIOLATE OR CATiCEL THE PROVISIONS OF AhTY OTHER STA'I'6 OR LOCAL LAW <br />REGULAITNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTTON. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM T'i� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br />7'HE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />Fee %� <br />elu�PP i3/5/93) <br />