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CTTY OF EVERETT <br />BUILDWG DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Owner <br />,eoaoc <br />Elxtrical Contncwr <br />Contnct Price of Work <br />�r#7s 2�2 <br />ProjxtAddrca,: <br />.- <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Address <br />Mail Addrese . <br />Mail Addresa <br />56 �r''` sr. s <br />Dmcription of Wo:� to Be Done: <br />'t_ �i i�/� L� f/� i! i <br />City <br />City State/Zip — <br />Proposed Use of Building <br />-�� �ERETr; cv�t <br />//�/�J <br />��.� <br />: � <br />aab-�o�s7a3 � <br />State/Zip <br />P6one Shte Licao�e No. <br />�J'$2o� <br />, NOl'E: WA�' 296�6-140 REQU[RES THAT PLANS FOR ELEGTRICAL WORlC AT EDUCATlONAL, INS'IT!'IT1i0NAL OR <br />HEALTH CARE FACIIITL�S BE APPROVED BY TI� STATE OF WASHDVGTON. APPLICANTS WlTFi SUCH IOBS <br />MUSf SHOW THE STATE APPROVED PLANS BEFORE CffY OF EVERET PERMTT WII I, BE ISSUED. <br />NO'1'E: WIItiNO IN NON-DWELLWGS IS REQUIRED TO Bfi W METAI,I,[C RACEWpyS (MC AND AC, AR� �CABI.FS, <br />NOT RACEWnYS). <br />I HEREBY CERITFY THAT I HAV6 READ AND EXAMINfiD THIS APPLICATION AND RNOW TFI& SAME TO HB TRUE <br />AND C01tRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINp THIg Typg OF WOR1C WII,i, Bfi <br />COMpLB'IED VyfTH WHE�HgR SPBCiF+1ED H&REIN OR NOT, THE C3RMi'flpp OF A P&RMiT DOHS NOT PRBSUMH <br />TO ONE Ai"�p�y TO VIOLATB OR CANCEL THH PROVISIONS OF M(Y p'fHgR S'�'ATg pR LpCAL U�y <br />REQULA7T•«' ^.ONSTRUCI'ION OR THfi PEAFOR�IANCH OF CONSTRUCIION. THAT I AM AUTHORIZBD BY 1'HE <br />�WNER' �F "`�� PROPfiRTY TO PERFORM TF� WORI{ FOR WFiICH APPLICATION IS MADE AND I COMPLY Wl,'fi <br />TFI& S7'Ai:, CONTRACI'ORS LAW 18.27 RCW AND 296.?AO WAC. <br />X <br />Signaturo <br />� a- -S'�i� <br />Date <br />� <br />Fee � <br />deuPP f!/SN <br />