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APPLICATION FOR ELECTRICAL F'ERMIT <br /> �y�-��. <br /> CITY OF EVERETl' <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 9gZ01 <br /> 259-88f0 <br /> �nrvP � �i��P� 68'�.�-s92'� D!1 hl.��. /j1c�c ir%4- 9.���p s9=/7,SG <br /> Owner Mail Address City State/Zip Phone <br /> �ll�lc- ��/ 7- L./o'f�no�P CVsipl'�" /(l� .h �9 /� CC. <br /> Twant Mwl Address Ciry State/Zip Phone <br /> �eaaer ��Actii.c I11R-F�', �a Yla��c� I�o Ivf9- 4Xa�0 6S3-II/9 �EF�n�7DL <br /> Electncal Contnctor Msil Addrcss � City State/Zip Phooe 54te License No. <br /> /_ cD0 - �. n�- _ RPS_ ��nTu I <br /> Con'Gact Price of Work Proposed Uu of Building <br /> �_$/ 7- /det�ni y /-U P/oYT L!/� <br /> Project Addrcss <br /> Description of Work ro Be Done:�e - 4J.'rG <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTiTU'IIONAL OR <br /> HEALTH CARS FACILTIIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WII,L Bfi ISSUED. <br /> NOTE:WIRING W NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL:CATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRE('f, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCfION OR TIiE PSRFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZED HY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> Tf�STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X n0 <br /> ----�. _ - 9 F«�— <br /> Signature Date <br /> dccePp(3/S/9,l) <br />