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� � <br /> � <br /> APPLICATION FOR ELECTRICAL PERNIIT <br /> �, <br /> C1TY OF EVERETT <br /> gUII,DING DIVISION <br /> 3200 CEDAR STREET <br /> EygR�'1'I',WA 98201 259-8810 <br /> ��/�y' � ,t3c�PKn/62 !�)oZ 4D'� ST SE �v�7T Lt/A ��i'�p a.Sa-9G3 Phone <br /> pµ,o�� Mail Addrcss y <br /> I . . Mail Address . . City StatdZip • Phoue <br /> ` •Teaant <br /> d37s-f 30'�`Y�^�'�10z <br /> SPl-7131 '�'�="• �''''.r'.t.n� <br /> ��s.1 SYC7�7i'1.5�,/IV� �6LLG�/uE t�J/4 9��� `�� pyone StateUcwseNo <br /> Electrical Contractor Mail Address C�ty State/7ap <br /> , � .Contnct Price of Work Proposed Uu of Building <br /> ; c^.• ••��i l4-5 19-f3�ldFi <br /> � . <br /> 'I Project Address <br /> i, <br /> Description of Work to Be Done: <br /> � <br /> i <br /> ;. . }'' � <br /> � <br /> � <br /> , <br /> TIOTE:WAC 296�6-140 REQUIRES THAT PLANS FOR ELECfRICAT-W�RK AT EDUCATIONAL, INSTITUITONAL OR <br /> IvIIJST'SH Tf�STA�7'E�PROVED PLANS BEFORE CTI'Y OF EVERET PERIviTT�'�II-L E ISSLJED H SUCH JOBS <br /> A(OTE:WIItING IN NON-DWELIa1GS IS REQUIRED TO BE IN METALLIC R�ICEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERT'IFY THAT I HAVE READ ?.ND fiXAMINED THIS APPLICATION AND KNOW TI-IE SAM&TO BE TRUE <br /> � qND CpRRECT', pLL PROVISIONS OF LAWS AND �1tDINANCES GOVERNING THIS TYPE OF WORK WII-L $E <br /> COMPLEI'SD V1RTH �R SPECIFIED HEREu`1 OR NOT. THE GRANfII`1G OF A PERMIT DOES NOT PRESUME <br /> ` iTO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AN1' OTHER STATE OR LOCAL 1✓�w <br /> � REGULATING CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZfiD BY THE <br /> � OWNER OF THIS PROPERTY TO PERFORM T!�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WTIH <br /> THE S'I'ATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> x F���30.(9(� <br /> Date <br /> Signaturo <br /> �� \� elecepP(7I5193 <br /> < <br />