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_��-_ _ ___- <br /> . APPLICATION FOR ELECTRICAi, PERI�IIT <br /> CCi�' OF EVERETI' ' <br /> BUiI.DING DIVISION <br /> 7200 CEDAR STREr <br /> EVERETI', WA 98201 <br /> 259-8870 <br /> � 7 G'l�[i"� , ��3�/.�7-� <br /> Owoer htul Addr:ss City St3te/Zip Phone <br /> � 7�1 � (_Sl <br /> Teoaot . �� � Mail Address . . City Stale/Zip � Phone <br /> �YYI N1�}�� l�r'� �55 .S'/��f ,L'pi����� �VI'1��7r� <br /> Elec:rical C tncto Mail Addras City ' SuedZip R,6ppy���/a St�te License No. <br /> a�J � �Fle b�:�l�J — <br /> Contract Price of Work Proposed Lse ot IIuilding <br /> o?I�(u l�p�mor�e <br /> Project Address <br /> • Descripeion of Work to Be Dooe: ����� . <br /> � <br /> ! <br /> i <br /> f <br /> i <br /> _ .._ . . m.... -�..�--,---�—�_..__.�.�� _ <br /> YOTc:WAC 296-�t6-L40 REOUIRES TFL�T PL.�'�fS FOR cLCTR1CAL. W'ORF: AT EDUCATlONAL, INSTfIUlIONAL OR <br /> HEALTH CARE FACQ..I'CIES BE APPROVED BY TF� ST�'IE OF ��'ASHINGTON. r1PPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf� STATE APPROVED PLANS HEFORE CITY OF EVER°.T PERAfIT\VII.,L BE ISSUED. <br /> 1 NOTE:WIItING W NON-DWELLWGS IS REQUIRED TO BE IN �tET.U..LIC RACEWAYS (MC AND AC, ARE CABLES. <br /> ' NO'I RACEWAYS). � <br /> I :�REBY CERTIFY �iAT I HAVE READ �VJD EK.4.'•iLVED i'?TS :�?PLIC:ITION AND IG`70W TF�SAME TO BE TRUE <br /> AND CORAECT. ALL PROVISIONS OF LAWS AND ORDL`7:u`10E5 GO�E?,,"7ING THIS TYPE OF WORK WII.L BE� <br /> COMPLETED WITH �VI-IEI'F�R SPECffIED FCREi'J OR NOT. T^:c G�.1A7TI`iG OF A PE?2I�i1T DOES NOT PRESUhtE <br /> TO G[VE AUTHORlTY TO ViOLATE OR CrWCEL THE PP.OViSIONS OF ANY OTHER STATE OR LOCAL LAR' <br /> REGULATING CONSTRUCTION OR THE PERFOR.tit?..`ICE OF CONSTRUCf10N. THAT I Aht AUI'HORIZED BY TF� <br /> OWiv�R OF THI� PROPERTY TO PERFORht THE WOR.< FOR `��'f?ICH APPLICATiON IS hfADE AND I COhiPLY WITIi <br /> I'FiE STATE COPITRACfORS LAW 18.2, RCW AI�fD 296.2C0 1VAC. <br /> �X � �Y�1�--�� 1�--C�" � % �'��v � F��o.. f�C;� <br /> amre . Date <br /> C-����� l�'I� <br /> ���=•vv C <br />