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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> gUILDING DMSION <br /> 3200 CEDAR 5'I'REET 259-8810 <br /> gyERfiTf,WA 98201 <br /> s �9�t��5 3ge�8� <br /> C C�'�� ��Fv E Phone <br /> Owna <br /> Mail Address Ciry State/Zip <br /> C ; o F L„c-�`'fif <br /> C��y Smte/Zip LJ tECZS� ��Q° <br /> Tw�nt • Mul Addross /C <br /> C �II��S Gk�--i�;� -�� `� ��l%�kF��� <br /> Sc4 il �� 9d� �� ?tr� "`11f3 <br /> ectrical Contraclor Mail Address <br /> Ci State/Zip Phone Shte Liceose No. <br /> �'�`� �� �~ k��5 I �-� <br /> Contnct Price of Work — .{, Proposed Uu of Buil�'°g <br /> }= �^ f �C`t !"F �71� �CT(ti0V`C� <br /> �, �vc� ` O� vh �//�� <br /> project Addross , � C �1.� S rc,i� �F I6C 4 �P W <br /> T�,SfS � 1 � <br /> Description of Work to Be Done: <br /> � � M �qc �.,tiE ��', <<vk��ti• �0 . <br /> Np1'E;WpC 296-46-140 RfiQUIItEs THAT P�S FOR ELECTRICP.1-WORK AT EDUCATIONAL, INSTI'CUZZONAL OR <br /> MUS7'HOW Tf�F STCA'�fE�ROVED PLANS BEFORE SCIT7'OF EVERET PERMIT V✓n-L IIL ISSAED� SUCH 70BS <br /> NOTE:WIRING IN NON-DWEL.LINGS IS REQUIRED TO BE IN MEfN-I.IC RACEWAYS (MC AND AC� ARfi C��' <br /> NOT RACEWAYS). <br /> I FIEREBY CERTIFY TEiAT I HAVE READ AN�EXAMINED THIS APPLICA'CLON AND KA10W TL�S�TO Bfi TRUE <br /> IE <br /> ,qTID CORREGT. ALI- PROVISIONS OF LAWS AND ORDINANCES GOVEItNING THIS TYPE OF WORK WII1- <br /> COMPLETED WITH WHE1'F�R SPECIFIED HERfiII9 OR NOT. THE GRAN'PII9G OF A PERMTf DOES NOT PRFSl1b1E <br /> TO GIVE AUTHORTI'Y TO VIOLATE OR CA��L T� pROVISIONS OF ANY OTFiER STATfi OR LOCAL 1-A�W <br /> gfiGULpTING CONSTRUGTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> pWAIER OF THIS PROPERTY TO PERFO Tl�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> 'fHE STATE CONTRACfORS LAW 18.2 AND 296.200 WAC. <br /> g <� .' �' a 7- Fce�/Q� <br /> Date <br /> Signaturo <br /> � <br /> yi��5 <br /> �ieo.ev P�sro» <br />