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APPLICATION FOR ELECTRICAL p�RMIT <br /> CITY OF EVERfiT1' <br /> BUB-DING DP.7SION <br /> 3200 CEDAR STREEI' <br /> EVERETT, WA 98201 <br /> T59-B8f0 <br /> . �Ni4�q D. S7'acve// 2 2 2 � LeJ�»rofe <br /> �O� Mail Addrcss � ����,�� 9� /l .�3J—SsS•f¢ <br /> ^ C��Y S4td2ip Phon� <br /> �CI Q�K� - ,4,rI� <br /> Twant Matl qddress <br /> C�ty Smte/Zip Phone <br /> Elxtn Contractor Ma�l Address <br /> (.�ry StaWZ�P Phone S4te Lieeose No. <br /> Coatnct Price of Wo�$ Proposed Uu o(Build(ng - <br /> ,�aa� �>� �� <br /> Pro�ect Addrc�ss <br /> Descriptiou of Work to Be Done: .�.ve�w�0 ,q p ��n - Q" �' <br /> AQL[lc <br /> NOTE;WqC 2%-46-140 REQUIRES THAT pLANS FOR ELECIRICAL WpRK qT EDUCATIONAL, W511TU170NAL OR <br /> HEALTH CARE FACILiT�S gg AppROVED BY 'CE� STATE GF WASHWGTON. APP�CpNTg �g SUCH JOBS <br /> MUST SHOW TJ�gTqT&qppROVHD PLANS BEFORE CITY OF EVERET'pgRHIIT'�yR,L BE ISSUED. <br /> NOTfi:WI]Zp1G W NON-DWELLIT(GS IS REQUIRED TO BE IN ME7'qLIdC RACEWAYS (MC AND AC, qRE CABLES, <br /> NOT RAC&WAYS). <br /> 1 HEREBY CERTTFY T'FiqT'I HAVE READ pNL gXpMIhJgD T�S ppp�CATION AND KNpW'I'H�SpME TO B&TRUE <br /> AND CORRfiC!', Ai i pROVISIONS OF LAWS AND ORDITLyNCES GOVERNING THIS TYpE OF WORK W(L[, gg <br /> COMPLE'('&p Wl'(�g ��R SPECIFIED HEREIN OR NOT. THE GRANT'[NG OF A PERMIT' DOES NOT PRESUME <br /> TO GIVE AUTHORIY'y TO VIOLA7'E OR CANCEL THfi PROVISIONS OF ANY OTHER STATE OR LOCAL L,pW <br /> FEGULA7TNG CONSTRUCfION OR THE pgRFpR�qNCE OF CONSTRUCfION. THAT I AM AUTHpR��D BY THE <br /> �WNER OF THIS PROPERTY TO PERFORM THE p'pI�{FOR WHJCH ApPLICATION IS MADE AND I COMPLY WIT'H <br /> 'fHE STA7E CONTRqCT'pRS LAW I6.27 RCW AND 296,Zpp WAC. <br /> X "�" M �,C��i�G.�� <br /> .�,/� � <br /> Signature Fee_,�` <br /> Date <br /> / <br /> , 3�ay <br /> ��«•rv P�sr?n <br />