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APPLICATION FOR ELECTRICAL PERMIT <br /> C1TY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> J�ill L� 1'�fC�'IO�S (o$Z�/0// <br /> ��e�c�e+� � r'�u � 5 �U2-� � )A- g �zo� l�.S�/�vi <br /> ��* Mazl Address City State/Zip phooe <br /> P� <br /> �'a � I l'�, o Ilar yzo r i fr�cs �2 �� �a ��3 <br /> Tenant � Mail Address . City SmtelZiP � Phoue <br /> —5__��.� <br /> Elxtrical Contnc� .• Mail Addrcss City State/Zip Phone State Licenu No. <br /> Contract Price of Work Proposrd Use of Building <br /> ti zo i ,—��/dw c E' Qe �.��f� <br /> Projxt Address , <br /> Ducription of Work to Bn Done: �Pii� YY1 �4 �N1Cc.1� �' <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLAtIS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTffUTIONAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW TE�STATE APPROVED PLANS HEFORE CITY OF EVLRET PER1vIIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINCS IS REQUIRED TO BE IIr METALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br /> NOT RACEWAYS). <br /> I IiERSBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETL:D WITH WHETHER SPECIFIED HEREIN OR NOI'. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHpRITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW � <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUGTION. THAT I AM AUTTiORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.2001WpC. <br /> _�,-/l�a�K � . irn <br /> � �/►�/�3 F� <br /> Sign re Date <br /> �l)���� <br /> clecapP(7/S/9JJ <br />