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�, _, <br /> APPLICATION FOR ELECTRICAL PERNIIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETP, Wp 98201 <br />, ; '��.�501 2ss-es�o <br />( , ; ��acN ��a�..hevs fj�x 600YS ��rr/� u,q �fi ( o <br /> �ii'. -, ; er Mail Adldross City State/Zip Phone <br /> ,;.. � <br /> ; �ad.ren{ /�(�(,�,,,s �„J 24ru 2j '� S�� �nr.JT- <br /> u�� j'!' z � / <br /> Teoant Mail Address . City State/Zip Phone <br /> � `vr�� <br />' ! Electricat Contracwr Mai1 Add�sss City State/Zip Phone State Licwse No. <br />� `°' ! �2So `' �j—✓�J I <br /> �� Contract Price of Work Proposed Use of Building ` I <br /> �'` ! � _ E�cau-rr u,t1 ' <br /> ��;: 24lU L5 ': > f'8 7_ci/ <br /> � � Prqxt Address <br /> .;'...r'�:_ . . .. <br /> ,,' '' ,, i �. <br /> Description of Work W Be Dona_ILEP��E .tit c-,rd. GI�E <br /> ���. � <br /> ��. . ���� <br /> 1 u � f I <br /> ��'� <br /> ��l <br /> �_ `� <br /> � <br />' NOTE;WAC 296�6-140 REQUIRES 'PHAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVSD BY TE� STATE OF WASHINGTOIV. APPLICANTS WiTH SUCH JOBS <br /> MUST SHOW T'!�STAT&AAPROVED PLANS BEFORE CITY OF EVERET PERIv11T WII,L BE ISSUED. <br /> s <br /> ' NOTE:WIRING IN NON-DWELLWGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />� NOT RACEWAYS). <br /> ; I HEREBY CER'I'IFY THAT I HAVE READ ,AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRtiE <br /> t AND CORRECf. ALI, PROVISIONS OF LAWS AND ORDINANCES GOVEI�iING THIS TYPE OF WORK WII.L HE <br /> i' COMPLETBD WITH WFIETHER SPECIFIED HEREIN OR NOT. THE GRANI7NG OF A PERMIT DOES NOT PRESUME <br /> � TO GNE AU'I'HpRi'1'y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULA7TNG CONSTRUClTON OR THE PERFORMANCE OF CONSTRUCITON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITfi <br />, i THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> i i <br /> � X C� <br /> �''� 3.i� - 9 � F��� <br /> y Signemre Date <br /> i <br /> ; <br /> � <br /> - elecepp(!/S/931 <br />