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� � � <br /> APPLIC�.TION rOR �LECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEnAR STREET <br /> EVEItETT, WA 98201 <br /> 159-B810 <br /> /�/+ l �S� 1Ji�fL ��s - v7 "tsT i-vi-2��� �ui� yyzo3 � 5 -�5/�^ <br /> O�wer Mail Aduress City State/Zip Phoue <br /> Twant � Mail Address - City State/Zip � Yhone <br /> I!li `1� ���7 � t�liEc_ 3`��Y /«uMf'cf2 I=v_ Lu/1.. �';2�% ��Z-Y6S7 M� C.� � N ��y79C� <br /> Electrical Con nctor Mail Address City State/Zip Phone State License No. <br /> `.� �= � <br /> Contract Price of Work Proposed Use of Building I <br /> 7/S - �/ 7 '�i .ST <br /> Project Address <br /> Descripliou of Work to Be I3one: I�,l ST h LL ; 1 ' i o�:. /+��1�J T� -'-�� /�tif 1'' C I} <br /> S I:. IZv i� � � VJ � r2� �t��/}II�S <br /> MIri�1 c-�o�,t � rr43r�Wcti7- w� �� �'�z <br /> _ r'1-=ta�irtl-i� i�T /}- LR I l>i2 pA-Tis <br /> NOTE:WAC 296-46-140 REQUII2ES THAT PLANS FOR EI.ECTRICAL WORK AT EDUCATIONAL, INSTITCJ'I'IONAL OR <br /> HE.ALTH CARE FACILTTIES BE APPROYED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOB5 <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CIT'Y OF EVERET PERMIT WILL BE ISSUED. , <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUI3ZED TO BE IN METALLIC RACEWAYS (MC AND AC, ARfi CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERbIIN� THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GItANTING OF A PERMIT 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. TAAT I AM AUTHORIZED BY THE <br /> OWt�ER 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 296.200 WAC. <br /> X ����T.ii(��j // ��l� L � � —�7-5� Fee <br /> Sionature�� Date <br /> � <br /> �� LI J� <br /> L <br /> clecapp(!;5/93) <br />� <br />