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C[TY OF EVERETT <br />gLJII,DING DMSION <br />3200 CEDAR STREET <br />gyBRE'I'T, WA 98201 <br />Owner <br />Teuant <br />Ti�f<;P ` ; ' � <br />Elxtrical Co tnctor <br />Contnct Price of Work <br />f� �l � ,ini•i� <br />Projxt Address <br />... <br />� <br />APPLICATION FOR ELECTRICAL PERMIT <br />Address <br />Mail Address <br />Dacription of `•''=rk to Be Done: <br />Address <br />�5 />'�'� `� %��i1�X711J11.L <br />C�ty Sfate/Ztp <br />Ciry State/Zip <br />^ �Z^,t ` � �<-' �% /�nr'l(Ti�, �/JA- �.?� <br />City Smt IZ�p rnoue <br />Propow� Uu of Building <br />'-f '�' �- <br />_ c�%.,-..,� � �' _ Qi <br />259-88]0 <br />P6one <br />Phone <br />3��f-�9,�� <br />State Licen.e No. <br />HEpLTH CCAkE FACILITIESS EE S� R VED BY TF� STATB F W SHINGTON UAFPL�ICANTS WTT�IU HAJOBS <br />I <br />MUST SHOW Tf� STATE APFROVED PLANS SEFORE CITY OF EVERET PERNIIT WILL BE ISS . <br />NOTE: WIRING IN NOtv-DWEI-I-INGS IS REQUIRED TO BE IN METALI-IC RACEWAYS (MC AND AC� A� C��S, <br />NOT RACEWAYS)• <br />AND C.ORREGT. ALL PROVI IONS O� AND E� IORDINANS E p GIOVERNINGDTHISOT�� F WORK BWILL BE <br />TO GNE AUTHORII'Y T� OLATE OR CANCELOTHE PROVISIONS OFNANYFOTHER STATEEORoOC�LAW <br />UTH <br />REGULA'fING CONSTRUCTION OR TAE PERFORMANCE OF CONSTRUCTION. THAT I,\M AUTHORiZED HY <br />OWNER OF THIS PROPERTY TO PERFORM 'fHE �'d�� FOR WHICH APPLICATION IS M�+DE AND I COMPLY WI'1'ii <br />Ti� STATE CONTRACTORS LAW 18.27 RCW AND 296.20� WAC. ��'� l)� <br />Date <br />Signature <br />Fee e'3J`�� � � <br />elecopP (715�93) <br />