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i APPI,ICATION FOR �I.E�TRICAL PERMIT <br />� Hl3u� <br /> CITY OF EVERETT � <br /> PUILDING DMSION <br /> 3200 CEDAR S7REET <br /> EVERETT,WA 96201 <br /> ;�30� 6cere�IV- ��� zs9-sato <br /> �. I �� `)s3ol <br /> I/1LR-�5`� �c�redL �/S� f� c,JA� 3.?Y �.ifb <br /> Owner Mail Addrcss City . SlatdZip Phoue <br /> SAM� <br /> Teuwl . .. . Mail Address City StatdZip � Phoue <br /> r <br /> �r1,�-7-s��nC��s <br /> Electrical Conlnctor Mail pdtircss City StatelZip Phone State Licenu Nn. <br /> �t aa�c.t �L�s Rda�u <br /> Contnct Price of Work �..p Proposed Uu o(Building <br /> `�SOD _ /o e/s�s� /e�/s,�v�/7et�.Q�Gs Se�r. L) <br /> Project Address , <br /> c n� ' /_ <br /> Descriptian of Work ta De Done. T R r!//L ��d[(N� /[�',s' — (�jQCL� 4t/ .$4 <br /> ���,�� <br /> ��c �?u.acT — <br /> � NOTE:WAC 296-06-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCAT70�AL, INSTI7T7TTONAL OR <br /> HEALTH CARE FACILITIES BF. APPROVED BY THE SfATE OF WASHINGTOI�i. APPLICANTS WiT[3 SUCH lOBS <br /> MUSC SHOW 7'HE STATE APPROVED PLA!JS BEFORE CITY OF EVERET YERMIT WII.L HE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS iS REQI7IRED 70 BE IN METALLIC RACEWAS'S(MC AND AC, ARE CABLES, <br /> NOT FJ�CEWAYS). <br /> I HEREBY CERTIFY 7'HAT I HAVE READ AND EXAMINED'IHIS APPLiCAT10N AND KNOW TFIE SAME TO BE TRUE <br /> AND CORRECC. pLL pROVISIONS GF LAWS AND ORDINANCES GOVERNING TEUS TYPE OF WORK WQ.L BLi <br /> COMPLETED WCI7d WHEI'HER SPECIFIED HEREIN OR NOT. THE GRAMING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLA'['E OR CANCEL THE PROVISIONS OF ANY OTHER S'fATE OR LOCAL LAW <br /> REGULATING CONSTRUCI'ION OR THE PERFORMqNCE OF CONSTRUCfION. 7'HAT I AM AUTHORIZGD BY 7HE <br /> OWNER OF THIS pROPERTY TO PERFORM THE WORK FOR WHICH APPLiCATfON IS MADE AND I COhiPLY WITH <br /> TfiE SfATE CONTRACPORS LAW 18.27 RCW AND 296.200 WAC. <br />` X ��1 .. —�'� Fce � <br />`, Sg turo . Dale <br />� <br /> r <br />� �m�.��iJro» <br />