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� <br />APPLICATION FOR ELECTRICAL PERMIT <br />crrY oF EVEt�rr <br />BUILllING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 987A1 <br />�— <br />A►� � <br />: � <br />GCT/ Bo�EN /.'Y�B SEr//�.A�-/VE SV .�E`T lv:4. 4Ra�3 <br />Owner Mul Ad.iress City Shte/Zip Phone <br />�I�vs� .s� pBD 1� <br />Teoant Mail Address City State/Zip Phooe <br />�ir1�_ s a-rrt✓ i�ci �✓v�.^a � Li/�.2F�'T atld 9Ci9ol� 7t�3 � Ket.��fE*07S�C.3 <br />Elxtrica! Contnctor Mail Address City ShtelZip Phone S4te License No. <br />�9�.0o SF2 <br />Contract Price of Worlc Proposed Use of Building <br />/bSo s�Nic saa�✓F 6vE��'n', N�A . 9BL�,3 <br />Projxt Addreu <br />Deacription of Wodc to Be Done: xe.v.. .� ic� rz., v w ri ,✓Ery/ /L�4M"FiM.t��- .v�w <br />i — — — • <br />NOTE: WAC 296-16-140 REQUIltES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INS1TT[TITONAL OR <br />HEALTH CAkE FACILI'f[ES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCfi JOBS <br />MUST SHOW TE� STAT6 APPROVED PLANS BEFORE CI'CY OF EVERET PHRWITf WILL BE ISSUED. <br />NOT'E: W[RING W NON-DWELLINGS iS REQUIRED TO BE IN METALLIC RAC&WAYS (MC AND' AC, ARE CABLES, <br />NOT RACEWA`'S). <br />I FIERcBY CER'i'IFY'THA'T I HAVE READ AND fiXAMINED TFIIS APPLiCATION AND KNOW THE SAME TO $fi TRUE <br />AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GO�BItNING TfiIS TYPE OF WORK WQ.L BE <br />COMPLETED WI'I'fi WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'ITN� OF .4 PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TG VIOLATE OR CANCEL THE PROVISIONS OF ANY OTfiER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS FROPFT""Y ?O PERF02M Tf� WORK FOR WHICH APPLICATiON IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTURS LAW 16.27 RCIv AND 296.200 WAC. <br />S�gnature . �"•` <br />Fee � � <br />elewpp (!/S193) <br />