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� �� APPLICATION rOR �LECTRICAL P�RI�-iIT <br /> G �H <br /> H CI1'Y OF EVERL•TT <br /> ,�„;� y BU[LDiNG DIVISION <br /> ra � � 3200 CLDAR STRLET <br /> K n EVERETT,WA 98201 259-88f0 <br /> H 7�7 <br /> � H�I ;;��J <br /> V] H�C-�1 �j // <br /> t�j7ie� (/i^ll //J /�/�7li!//'G)/?il �� � G Nt��ifl/J/G �vey�� �. i�ll �d <br /> [a O La Crt� Slate/Zip � Phone <br /> �-3 C O�wer Mail Address > <br /> ON <br /> n <br /> 4��� �Cr vr� �G <br /> y y Tenanl � - D4ai1 Address City State/Zip Phone <br /> t� <br /> HH <br /> �' �C!/GVC`��� <br /> �om <br /> ��� Lleclrical Contractor Mail Address City Slate/Zip Phone State License No. <br /> � y � ��`�-' -c�— <br /> w <br /> � Contract Fricc of Woik Proposed Use of Building <br /> /rj �Z (,/�:�07��✓�. <br /> � Project Address � <br /> � � Descriptioo o(Work lo Be Done: �G t'✓—tG ���(�'�" /✓ � ' '� _�/�xC 5 <br /> CHCGC/ (/OO /,� ��'✓f�/�� �J /rN ^ V�iF/l�l'� N !"-fJ <br /> � / /f�J'/1GG � �T7 <br /> I �� <br /> - NOTE:WAC 296-4G-140 RLQUIRES THAT PLANS FOR ELECTRICAL WORR AT EDUCATIONAL, INSTITUTIONAL OR <br /> HBALTH CARE PACILITILS BE APPROVED IIY THE STATE OT WASHINGTON. AF'PLICANTS WITH SUCH IOBS <br /> I � MUST SHOW THL STA7'E A3'PROVE•D PLANS IIEFORE CITY OF EVERLT PL•R1�11T NILL DE ISSUED. <br /> NOTE:�VIRING IN NON-DWL•LLINGS IS REQUIRED TO BE IN METALLIC RACEWpYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS)• <br /> �� <br /> � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE•D THIS APPLICATION MID KNOW THE SA2�4E TO BE TRUL• <br /> � AND CORRLCT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK \VILL DE• <br /> i 1�' CO[.4PLLTLD WITH �'✓HETHL•R SPGCIFIGD HEREfN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> I\� TO GiVE AUTHORITY TO VIOLATE OR CANCL-L THE PROVISIONS OF ANY OTFiLR STATE UR LOCAL LAW <br /> REGULATING CONSTRUCTION OR 'IHE PLRPORMANCL OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> O\VNLR OF THiS PROPLRTY TO PERFORM THE WORI:FOR 1V1�31CH APPLICATION IS MADE AND I COTIPLY WITH <br /> i'i-iL• STATE CON'I'fLACCORS LAW 18.27 RCW AND 29G.200 WAC• <br /> / <br /> ` _ ���,������ 3�9��� � �� -,, � r <br /> Sienali� � i alc <br /> c;aopp(3!5/97) <br />