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AYPLICATION FOR GLECTRICAL P�R111IT <br /> CITY OF EVERE'IT � <br /> HiJILDING DIVISION <br /> 3200 CEDAR S7REET <br /> EVERETf,WA 98201 259-8810 <br /> V�,�v+ �Gr1-�n ��by 5ht�r� 1=\Jr ��1+ �,Jf-� `7��03 <br /> Owoa Mul AdAmss Ciry S�atdZip Phone <br /> Yl �1� <br /> Tenanl Mail Address City Slnle/Zip Phone <br /> �), �"J� <br /> Elatrial Coulnetor Mail Addrcss Cily Slale/Zip Phooe Siate License No. <br /> 9� 7C�.c� S�-� <br /> Contnct Price of N'ork Pro�ased Uu o(Building <br /> 3ao�t ���a�e ,�� �, <br /> Projat Address � <br /> Description of Work to Be Done: �.�I�,CTLI I Ili'1�J ��(` r(�C✓n d L✓ . �y. <br /> NOTE:WAC 296�6440 RLQUIRES THAT PLANS FOR GLECTItICAL WORK AT EDUCATIONAL,1NSTINTIONAL OR <br /> HEALTii CARE FACILiTfE•S BE AFPROVED BY TIiE STATE OF WASHINGTON. APPLiCANTS WI779 SUCH IOBS <br /> MUST SHOW THE STATE APPROVGD PLANS BEFORG CITY OF EVERET PLRMIT WILL BE ISSUED. <br /> NOTE:WIRIN�i IN NON-DWELLINGS IS REQUIRED TO BG iN METALWC RACEWAYS(MC AND AC, ARE CABLBS, <br /> NOT RACEWAYS). <br /> I HERF.BY CEFTIFI'THAT I HAVE READ AND GRAMINED THIS APPLICATION AND KNOW TI4E SAMG TO BE 7RUG <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNMG THIS 7YPB OF WORK WILL BE <br /> COMPLGTED\VIT}i WNEfHER SPECIPIED HGREIN OR NOT. TF{8 GRANTING OF A PE6AIIT DOES NOT FRESUME <br /> TO GIVG AUii{ORIT:' TO VIOLATE OR CANCEL THE PROVISIONS OF ANY 077iHR STATE OR LOCAL LAW <br /> REGULATING CDNSTRUCf10N OR 771G PERFORMANCE OF CONSTRUCIION. THAT) A�i AUTHORIZL•D BY THE <br /> OWNER OP 7'HIS PROYERTY TO PERFORM THE WORK FOR WIiICH APPUCATION IS MADE AND 1 COMPLY WITH <br /> THE STATG CON7RACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ��1,�;, �� ; �,�e,�.�� 9/, J r3 F� - <br /> Signature Da�e <br /> cla�pP 0/SN]) <br />