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APPLICATION FOR ELECTRICAL PERMIT <br /> C1TY OF EVERETT <br /> BUII.DING DIVISION <br /> 3200 CEDAR STRE6'(' <br /> EVERETT, WA 98201 � <br /> 259-8@10 <br /> .��e��e S�Y�c� �� /0 7 ��7��, �.�.o �d �,L�4 9FcI a.�� 960 ( <br /> �� �,i naa� <br /> Gty Shte/Zip Phone <br /> �S�,n c �4 A6o �-� � <br /> Tenant Mail Addrcas <br /> Ciry ShWZiP Phone <br /> /y1_cG1Nf�,Elp ��c -�ois�o�„�2 f�i � ���a� a.s���T �ylcGi�v�5/79cF <br /> Elxtncal ntnctor Mail Addrcss C�ty State/Z�p Phone State Licrose No. <br /> (�rs. ���As-e <br /> Contnct Pnce of Woric Proposed Use of$mldmg ' <br /> 11Cld__L W�P�/YId/1 � <br /> Projxt Address <br /> Description of Work to Be Done: __ /,��//1 'L g /j�}Cj ��, �I��S- � Qu �/_ �� <br /> 'LK_/i]__— <br /> NOTE:WAC 296-46-I40 REQiJIRES T[;p7�pL,pNS FOR ELECI'RICAL WOIZK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACII,ITIES BE APPROVED BY THE STATE OF WASHINGTOIQ. APPL(CANTS W1TH SUCH JOBS <br /> MUST SHOW TEIE STATE ApPROVED PLANS BEFORE CITY OF EVERET PER1vIIT'W[L,L$E I�SUED. <br /> NOTE:W[Rp1G IN NON-DWELLiNGS IS REQUIRfiD TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTTFY THAT I HAVE READ pND EXAMINED THIS APPLICATION AND KNOW Tf�SAME TO$£TRUE <br /> AND CORREC(', qLL PFOVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WII,L gg <br /> COMPLETED WITH WHET'IigR SPECIFIED HEREIN OR NOT. THE GRANT[NG OF A PERMIT DOES NO'C pR&SUMH <br /> TO GIVE A[JTHpRi'('y TO VIOLA7'& OR CANCEL THE PROVISIONS OF ANY OTHER STATfi OR LOCAL LAW <br /> REGULpTING CONS"RUCTTON OR THE PERFORtv(/�JCE OF CONSIRUGTION. TAAT I AM AUTHORIZED BY THE <br /> OWNfiR OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'CH <br /> THE STATE CONTRAC['OR3 LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> '" � Fee .� f U C'J <br /> Signaturo � Dale <br /> ��� �� <br /> decepP(J/Sl9J) <br />