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�. <br /> P�� APPLICATION FOR �LECTRICAL PERMIT <br /> CI7'Y OF EVERETT <br /> �l�D • ('!k'ti` � ' � C�2 y3s— <br /> BUILDiNG DIVISION <br /> 3200 CEDAR STREET <br /> Ey&RE7'f, WA 98201 259-B810 <br /> aJEn.ac.►'�� �; �� s ,oa '�°� sc «y� ;7- c�,► crx�� <br /> Owner Mail Address Gty StatdZip Phane <br /> rr " <br /> • n <br /> Ten�nt <br /> M�il Addross Ciry Staro/Zip Phone <br /> G� T ik-/N�u[eo �– <br /> �r�••!? WOMf6.A9 9.f3/�rr.� vE tl. E��i9" �s'nsr S�f-3oob _ <br /> / C�� SUte/Zip Phone State L�ceoee No. <br /> Elcetric�l Contrector Mail Address Y <br /> �SU°� OFf/GL — <br /> Contrect Price of Work Proposed Use of Building <br /> ��� 3 ic � Pc S� — <br /> Project Addresa <br /> � S'w i 7iC/^i � L J� <br /> Description of Work to Be Done: � p� v � <br /> NOTE:WAC 296-06-140 RC'QZIIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU'I70NAL OR <br /> MUST HOW TFIE S'CATEIAPPRO D PLANS BEFORE CIT OP EVERET ERtvITT W'1�BE IS3U DW�H SUCH JOBS <br /> NOTE:WIRING iN NON-DWELLIIJ<3S IS REQUTAED TO PE IN METALLIC RACEWAYS (MC AND AC, ARE CABL�S, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TF11S APPI.iCATlON AND KA70W THE SAM6 TO HE TRUE <br /> APlD CORRECT. ALL PROVISiONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHE'fHF.R SPECI'rIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GTVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER S'I'ATE OR LOCAL LAW <br /> O'NER OF THIS PROP RTY TO PER ORM THE WORK FOR WH CH APPL'ICo T10N IS MADE A D I�COMPLY `MTH <br /> THE STATE CON7RACTORS LAW IB•27 RCW AND 296.200 WAC. <br /> �� �/�/ � �V��s•^^-f�"^ �� -�' ^ ( � �ee L-f�-" _ <br /> Date <br /> Signeture <br /> ei«.rr�isro� <br />