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CTIy OF EVERETI' <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVERETf, WA 98201 <br />O�vna <br />Twaat <br />A,PPLICATION FOR ELECTRICAL PERNIIT <br />�, i'F N�- <br />filectrical Con4acWr <br />� I �- M <br />cooc�« r�,a arw� <br />Mail Address <br />Addrcss . <br />Address <br />SIJ/Yt.� /Jc nGr� <br />Project Address <br />DescripGon of Woric W Be Done: <br />City <br />City <br />State/Zip <br />fiQ. <br />Proposai Use of Bu�dmg <br />State/Zip • <br />�s2a�v� <br />Phone <br />259-8810 <br />Phoue <br />Phone <br />Stata licease No. <br />NOTE: WqC 296-46-140 �REQUIRF,S 1'HpT pI„qNS FOR fiLfiCTRICpI, �ypgg qT gpUCATIQNAL, IN$T1TU170NAL OR <br />HfiALTH CARE FACIIITIES BE APpROVED BY TEIE STATE OF WASHII�IGTOT(, pppl„[Cq�S �� SUCH JOBS <br />MUST SHOW '� STATE APPROVED PLANS BEFORE CTfy OF EVERET PF,RNI11' WII;1� Bfi ISSU&D. <br />NOT&; WIRp•(G IN NON-DWELLUdGS IS REQUIRfip TO BE IN METALLIC RACfiWAYS (MC AND qc:, p.RE Cpg�� <br />NOT RACfiWqyS). <br />I HEREBY CER'ITFY THAT I HAVE Rfi,qD pND gXAMINED THIS APPLICATTON AND KNOW TFI& SAMfi TO B& TRUE <br />.4ND C01tRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNIIdG THIS TYP& OF WORK WII,I, gg <br />COMPI.&'CED Wi'I'g W�(�R SPECIFIED HEREIN OR NOT. THE GRANTlNG OF A PERMIT DOES NOT PRESUMS <br />TO GNE AUTAORITY TO VIOLA'iB OR CANCEL THE PROVISIONS OF ANY OTHER SfATE OR LOCAL L,qW <br />REGUI.A77NG CONSTRUCfION OR THE PERFORMANCfi OF CONSTRUCI70N. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TT� NpRK FOR WIiICH ApPLICATTON 1S MADE AND I COMPLY WITH <br />Tf� STATE CONTRAC('ORS LAW 18.27 RCW AND 296.200 WqC. <br />X <br />Signature <br />Date <br />clecaPP Cj/5/97) <br />