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,� <br /> APPLICATION FOR ELECTRICAL PERII�IIT <br /> CIT'Y OF EVERL•T'�' <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 98201 <br /> 259-8810 <br /> i-toufGr L. ilnfe►r� �S�I �?q,�irt,�y�, i�ve �vere'it r.o�► �'18201 �.5� G9 sti'I <br /> Owner Mail Address City State/ZiP Phone <br /> Tenant Mail Address . City State/ZiP Phone <br /> Electrical Contractor Mail Address City State/Zip Phone State License No. <br /> Contract Price of Work Proposed Use of Building <br /> �21LL — '� S� <br /> ; Pro�ect Address <br /> Descriptian of Work to Be Done: � VIQ� �L.(G IS L�Q/i '�'�,� I�CIilA1 � <br /> .� � — <br /> 1 <br /> ' ��Qa.tie �a,�l.e Qi�• .r�r.d.,�eofa,- C�a !l l�uY6, a+ 6 2I - 3s2 � . <br /> �! �a .vne��e�,,, <br /> NOTE:WAC 296-46-140 REQUII2ES THAT PLANS FOR BLECTRICAL WORK AT EDUCATIONAL, INSTiTUTIONAL OR <br /> HEALTH CARE FACII.TI7ES BH APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERIv11T WII,L BE ISSUED. <br /> NOTE:WI'�tING IN NON-DWELLINGS IS REQUIRED TO BE iN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT', qLI, pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLETED 1i7TH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AiJTHpJu'►'y TO VIOLATE OR CANCEL THE PkUVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCfION OR THE PERFORMANCE OF C;ONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOkK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> / 1.�---- a,���,`� F� <br /> S�ignamr Date <br /> dccnPP(!ISl9J'. <br /> _— _ .__ _._._ ._ "� <br />