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P� � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR S'CREET <br /> EVERE'IT,WA 98201 <br /> 259-8810 <br /> � �weo0 � �s'�o„icn.,.l 16t71c �,y'L` eucu9o- �,J zsf5Yr9�e <br /> �u Mail Address City Smte/Zip PSone <br /> � ��'py� �Q ,Bx 5U�K �v� �'�ZU� ,,�cl�-G�9l� <br /> � u� ���"" I�frW 6eAr��Lti �1.1E �ua�f.eTr e v¢� 3 <br /> Tmmt Mul Address Ciry State/Zip Phone <br /> I � <br /> � Elxtrical ContruWr Mail Addrcss Ciry Shte/Zip Phone State Licwse No. <br /> ! __ 42�sio�...— <br /> � Contnct Pria of Work Proposed Use of Building <br /> � �/4��/ .C�ArWaSR /�.� - <br /> Pmjxt Addreas <br /> Y <br /> Deacription of Work to Be Done: �[,��y,tstry �u..�.� <br /> ��. <br /> NOTE:WAC 296-46•140 REQUIRES'I'HAT PLANS FOR ELECTRICAL WORK AT EDUCAT[ONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTfIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THF.STATE APPROVED PLANS BEFORE CTTY OF EVERET PER1vIIT WILL BE ISSUED. <br /> NOTE:WIRIWG ItS NON-DWELLINGS IS REQUIRfiD TO BE IN METALLIC RACEWAYS (�dC AND AC, ARE CABLES, <br /> ! NOT RACEWAYS). <br /> ! I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATTON AND I:NOW TI�SAME TO BE TRUE <br /> AND CORRECI', ALL PROViSIONS OF LAWS AND ORDINANCES GOVERNING TEiIS 1YPE OF WORK WILL BE <br /> � COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> � TU GIVE AUTHORfTY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRIJCTION OR THfi PERFORMANCE OF CONSTRlJCT10N. THAT I AM AUTHORIZED BY TfiE <br /> ; OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHiCH APPLICATION IS MADE AND I COMPLY WITH <br /> ; Tf�STATE CONIRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> i <br /> X <br /> _ 2-23—q�S/ Fx ��T <br /> S gnamre Date <br /> decapp(J/5/9J1 <br />