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,� � <br /> ' APPLICATION FOR ELECTRICAL YEItMIT <br /> C1TY Or EVERETT <br /> BUII.DING DIVISION <br /> � 3200 CEDAR STREET <br /> I EVEREIT,WA 98201 <br /> 259-8810 <br /> L,r a � D� L'l,�. <br /> ,� Owner M Address City State/Zip Phoae <br /> 1 <br /> ,, v;>p', <br /> i <br /> Tenant � Mail Address . Ciry Stata/Zip Phone <br /> 7.�3 � /l/� /2S� �o7�j�/ �R �'!��/ 365� 2�EY�EEr.3s�it/ <br /> �'v.c.ri .,�,cr�.y L�/�ca'.�?lc. �.c�c <br /> Electticsl Contractor Mail Address City State/Zip Phone StaU License No. <br /> h`�W �..� <br /> Con ct Prix of Work Proposed Use of Building <br /> �71.� o��l(J� /,� . �4r 7) <br /> Project Address <br /> Description of Work to Be Done: �/��{�f��i�� <br /> ' NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILifIFS BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUSf SAOW TFIE STATE APPROVED PLANS BEFORE CTTY OF EVERET PER2vfIT WII,L BE ISSUED. <br /> NOTE:WIRING W NON-DWELLWGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CER1'IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Tf�SAME TO BE TRUE <br /> � AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK V!'II.L BE <br /> COMPLETED W1TH VVf�THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMTf DOES NOT FRESUME <br /> � TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. TAAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS AfADE AND I COMPLY W1TH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � T � Fee <br /> Signamre Date <br /> y/S3/ <br /> elec�PP(!IS/97) <br />