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( � <br /> APPLICATION TOR �L�CTRICAL P�RMIT <br /> C1TY OF EVERETT <br /> BU[I.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 98201 <br /> 259-88f0 <br /> �.�.��y �. �u�b1�� i �,�« �r��ti p� s.�v. �_���� ��� <br /> Owner Mail Address City State/Zip Phooe <br /> Twani � � � Mnil Address . City Smte/Zip � Phooe <br /> ' k' _ 31i01 �ua,. � Q�r �?�e�c � el��1D ( �St-�IG/ L=Y,cl�Nss��u.P <br /> Electrical Contraclor Maii Address Cily Sla(e/Zip Phone State License No. <br /> �� <br /> Contract Price of Work Proposed Use of Building <br /> l�lL �FY'�y �� S (.0 <br /> Project Address ' . <br /> Description of Work to IIe Done: �L2� '� l�{'L L T e,� �i�� [� D P�1 Pr[i <br /> NOTE:WAC 296-46-140 REQUIRES 1'HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FnCILITIES BE APPROVED IIY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH ]OBS <br /> MUST SHOW THE STATE APPP.OVLP PLANS BEFORE Cl'PY OF EVLRET PERMIT WILL IIL ISSUEU. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVG ItLAD AND L•XAMINLD THIS APPLICA'fION ANll KNOW 1'HG SAME TO BE TRUE <br /> AND CORRLCT. ALL PROV1310NS OF LAWS AND OItDINANCES GOVlRNING THIS TYPE OP WORK WILL BG <br /> COMPLL•TED WITH WFIET}IHR SPHCIF[GD HL•REIN Oit NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLA7'li OR CANCEL T}IL• PROVISIONS OF ANY OTIiER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION. THAT ] AM AUTHORIZED BY TI�E <br /> OWNER OP THIS PROPERTY TO PERFORM THE WORK FOR WII1C11 APPLICATION IS MADE AND I COMPLY WI7'H <br /> "I'F1E STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> " .,� � . S' � 2 � F� 35'�=- <br /> j Signawre Date <br /> � <br /> � ✓/ / � " � elcaPP C��3' <br /> ' <br />