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APPLICATION FOR �LE�TRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> E��TT, WA 98201 <br /> 259-88Y0 <br /> �A v �i� E, OL��i�-/ ��� T/o�;,o A ����-L ��ao.���a--�9 <br /> Owner Mul Address Cit <br /> Y . SLate/Zip PLone <br /> f�m'��%-�r�ma7��� ��/�—,�P�f' �ue rP� �'P�/ �.�� %'/�I'C� <br /> ��� Meil Addre,s City State.�Zip Phooe <br /> 0�2.�� <br /> �1�1✓J�✓ <br /> b'lectrical Contractor Mail Address City State/Zi Pl�oue <br /> P State Liceose No. <br /> Conlract Price of Work ///��A' ��� 0��1� <br /> Proposecl Use of Bwldmg <br /> �¢/cl- — 3� � �U�Ie� <br /> Pro�ect Address — <br /> �'�/ a�e, l� � f // l � ✓ <br /> Description of Work to Be Done: _ , �-nt� � ���� ��L � <br /> �J s�0i/�2�/e� � <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS POR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HE/+L.TH CARE FACILITIES BE AYPRQVED BY THn STATE OF W'ASHINGTON. APFLICANTS W1TH SUCH JOBS <br /> MUST SHnW THE STATE APPROVED PLANS BEFOR5 CITy OF EVERET P.EF.1vI1T WR,L BE ISSUED. <br /> NC'•,'F:W7R1NG IN NON-DWELLINGS TS REQUIRED TO BE IN METALLIC RACEWAYS RviC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBy CERTIFY THAT I HAVE READ A,�ID EXAhiINED THIS APPLICATION AND ICNOW TFIE SAME TO $E TRUE <br /> AND CORREC['. ALL PROVISIONS OF LAWS ANp ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COD�IPLETED WI'['$ VVIigTHER SPECIFIED HEkEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE CR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY THE <br /> OWNEk OF THIS PRUPERTY TO PERFURM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACT'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X / J /� � � — <br /> !%�� 9 �i'� r�:; 25 <br /> Signature , Dale <br /> dccnpp �J/SM,3) <br /> r . _.�..�-�.�.�- - -�;- .., —., �n,.. ;� - -.._ ..:.:a n wa., ti,nr . ... , , _ � � - <br /> L � ' �.�y i� <br /> 5`'`. '.�'`fu -. .. , u...� aN`�h�RM1t�+^n2 �I�s: � 'Ew Mr'M1.,.�:. 4 aW , ,.� rt: �k - , . . :%sl.�'f4"4� <br /> �e � _ ,�.:e:r. y��,.��,� �a�f,yr,,t Y,ii:=.2'c ' +i:QTt'. _ y ��t,���t CY . ...�'�r �'r+� '..•_;.� <br /> �R�_�,�� y„. 1 `''�,ta'^•j'��'�b'p5�7kat$:?:�. ..^'��:Y�'�M"a4�"0s'�,tC'4&� '� '�.ia' <br /> . ..i�'_ ..$Wte.l ��s'. .� �. �SRI .rt*A.`R . . M.�r�: . F . • �W� wry w 15�Akw�'��, <br />