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� <br /> A.PPLICATION FOR ELECTRICAL PERMIT <br />� CITY OF EVERET'f <br /> BiJILDRvG DIVISION <br /> 3200 CFDAR STREET <br /> EVEc�� , WA 98201 <br /> 259-88Y0 <br /> 'ec�' �ct.zL, 21�29-/31���'��S'� ,�r� <br /> � • i� �D. �o�.�,�� -����---� r,�0�� <br /> Owner ail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> T�3`� /f�L�/?��i�����//� !t/a• 96v!/ ���6:36yZv�v <br /> �il�'��. �.� 6/��-��� s.�� �rE��r.39o.e/ <br /> Electncal Contractor Mail Address C�ty State/Z�p Phone State License No. <br /> U/�/L. <br /> Contract Price of Work Proposed Use of Bmldmg <br /> �SG� � ��`� 7-�i�c `� . <br />; Projec[Address <br /> Description of Work to Be Done: /lJi�2,� il�i�� �1 ie ���/1 S`/�/ <br /> _ �%�'�'�d� /�i/'%1 /-oT ?3 1 <br />� NOTE:WAC 296-46-140 REQTIIREg T�IAT PLANS FOR ELECTRICAL WORK AT EDTJCATIONAL, INSTITUTlONAL OR <br />, HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> rfUST SHOW TI�STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />� NOTE:P/IRING IN NON-DWELLINGS IS REQUIRED 'f0 BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />� NOT RACEWAYS). <br />� I I-IEREBY CERTIFY'IT;pT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC'I', qLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WiI,L BE <br /> COMPLETED WITg WHETHER SPECIFIEll HERE;N OR NOT. THE GRANTING OF A PERMIT DOES NOT YRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMqNCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THr STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> p <br />� � <br /> X ,�, <br /> . �, <br /> _ ��_,� , �.�%-rn `J ' '^-' l� <br /> , Fee <br /> S�gnature Date <br /> ciccnpP(J/S193) � <br />