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.ir <br />� <br />A.PPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STftEEY' <br />EVERETT, WA 98201 <br />�Tn,H6s F,a rr� cal aJ�NiCv�l A� c:vE.�rr c.il1 9P.�1 t9 (oa',� f <br />Owner Mul Address City State/Zip Phone <br />• Tmmt <br />Mail Addrcss . <br />d37s-13o� /Ft�n(F'f'�Oz <br />Ciry Smte/Zip <br />P6one <br />,�� swcs�,S,inrC P�u.Gv�E, c1f� 9?cnS .Zr� Sv� ��a� ��,�srdi�lD3 <br />Elxtncal Contnctor Mail Address City State/Zip Phone State Licease No. <br />�Contnct Price of Work <br />_,5�4ntE �4S A-(�jJF <br />Project Address <br />Proposed Use of Building <br />Description of Work ro Be Dona S6Cu� t X� ,t Sv.c7�iN <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, 1NSTITUTIONAL OR <br />HEALTH CARE FACIIITIES BE APPROVED BY Tf� STATE OF WASHWGTON. APPLICANfS WITH SUCH JOBS <br />MUST SHOW 'ff� STATE APPROVED PLANS BEFORH CTfY OF EVERET PEIWIIT WII,L BE ISSUED. <br />NOTE: WIRING W NON-DWELLiNGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS APPLICATION AND KNOW THE SAME TO HE TRUE <br />AND CORRECI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPfi Ofi WORK WII.L BE <br />COMPLETED WIT'fi WHEf$ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTi-IORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WffH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Date <br />��30.c�� <br />� A d«evr Oisror <br />