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- � ._..�:�. <br /> A.PPLICATION FOR �LECTRICAI, P�RMIT <br /> �I!����� <br /> CP'Y OF E\'ERETT <br /> BUII.DING DIVISION II <br /> 3200 CEDAR STREET <br /> EVERETi, WA J8201 <br /> 259-8810 ' <br /> J�4�Ue7 �yq:K��� l.� gZ� io3�. 5� c���T u� 562,�� �`1�-�9� � <br /> Ov�er Mail Address City Slate,�Zip Phone <br /> . <br /> Tenant Adail Address City State:/ZiP Pho�e I <br /> ���P�._ <br /> Electrical Contractor Mail Address City State/Zip Pl�one Slate License No. <br /> 5 �� li <br /> Contract Price of Work Proposed Use of Building <br /> zr i� y� �;stcv�-��`r <br /> Projut Address . <br /> Description of Work to Be Done: 1�����C /Gd�',�4,' TGi (3 � !(/�,'j(J QU/`f/�� 1C�u�GL <br /> � <br /> NOTE:WAC 296-06-140 REQiTIRES THAT PLANS 'rOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH 70BS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY QF EVEP.ET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING ?N NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND Ar„ � CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRtiE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BL <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERAIIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I A;�f AUTHORIZED BY THE <br /> OWNfiR OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLiCA'tION IS M.iDE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � �'�'', ��? ��� Fu_ �/���- <br /> � ionature D1tz <br /> decopp(7/5/9}' <br /> � -_..____- ,�..,.—.,_. .,�... _ , . .. <br /> - o_- ...-:.:.:=ur . ......,-,., . <br /> i ' __' .�..�......w,... . . . . . . . . . . <br />