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ClTy OF EVERET'!' <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Owner <br />Tenant <br />Electrical Contractor <br />Contract Price of Work <br />s63 Z <br />Project Address <br />A.PPLICATION FOR �LECTRIC,�I, pERM'iT <br />Mail Address <br />�_ <br />Mail Address <br />�—__ <br />Mai1 Address <br />:%/ /„ f <br />Description of Work to Be Done: <br />City <br />City <br />City Sfate/Zip <br />, i� �,iar_', <br />Propased Use of E <br />State/Zip <br />State/Zip <br />Phone <br />259-8810 <br />P6one <br />Phone <br />State License No. <br />NOTE: WAC 296-46-140 REQUIREg '�'��AT PLANS FOR ELEC['RICA�, �yOg� AT EDUCATIONAL, INS <br />��"T� C�RE F'4CII-IT�S BE APPROVED BY THE STATE OF WASHINGTON. APpI,ICq�'�'S �g gJJ� JO S <br />MUST SHOW TiiE STATE qppROVED PLANS BEFORE CI1'Y OF EVEREZ' pgg�TT �yII;L BE ISSUED. <br />NOTE: W�gING IN NON-DWELLINGS IS REQUIgED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CqgI �� <br />NOT RACEWAYS). <br />I��BY CERTTFY TfipT I HAVE REqp pT(D EXAMINED TFIIS qpPI.ICATION ,�7� �OW <br />AND CORRECZ, q�, pROVISIONS OF LAWS qND ORDWANCES GOVBRNINC, �g TyppF WQ� B��BE <br />COMPLETED WI'I'H WI-TETHER SPECIFIED HEREIN OR NOT. T$E GRAN'ITNG OF A PERMIT DOES NOT pRESUD4g <br />TO GIVE AUTHpRITy TO VIOLATE OR CANCEL THfi pROVISIONS OF AI�(y p�gR STAi'E OR LOCqI, I,qW <br />REGULATING CONSTRUCTION OR THE PERFORM,yNCE OF CONSTRUCTION. THAT I AM AUTHORI� By � <br />OWNER OF THIS PROPERTY TO PERFORM 7'HE Wp�[{ FOR WHICH APPLICATTON IS MADE AND I COMPLY Wprg <br />THE STATE CONTRqC�'ORS LAW 18.27 RCW pND Z96.20G WAC. <br />X <br />�� �L`r/% C � � �Y_ <br />-:�. � <br />Signature , %� <br />Date <br />F��S" <br />y��ig <br />clecePP C�1/S/97) <br />