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� � <br /> , <br /> 'L, �. . APPLICATION FOR ELECTRICAL PERMIT <br /> B <br /> QTY OF EVERETT <br /> BUILDING DMSION • <br /> 3200 CEDAR STREET <br /> EVEREIT,WA 98201 <br />,' �,+ <br /> 255-8&10 <br /> �;. <br /> ''� ; �,� la� ,��/ .� _� �d �� ���� ��a�� ��5�8a i <br />� _. . <br />� ' Mail Addrcss City State/Zip Phone <br /> j ;- <br /> i �'`� . <br />, . ;.. � <br /> �,• <br />� . a, Twant ,. ", _ Mail Address . City StalelZip . Phone <br /> ; r:� I . <br />� ' f���2L�icfi'iG� �f�j // � ��Q ,��'D�/ <br />, � i Electrical Contractor ` Mail Address City State/Zip Phone State Licwse No. . <br /> ;_��';`.' ! �` • 'SL <br /> � �/J/�n� V/ � <br /> � �;?.' � —_(_/l�eT'/ <br /> � ' '; Conttact Price of Work Proposed Use of Building <br />� ��n: ; �r�3 �i�- Av� s� �� �� .�f#�1i �.,�' � . <br /> ' � Project P.ddmss "" ' '�G� �� <br /> . <br />� � � : DescripGan of Work to Be Done: 1� /��/I� /U (� C��fC __ <br /> ' NOTE:WAC 296-46-Z40�REQUIItES THAT PLANS FOR ELECI'RICAL WORK AT EDUCATIONAL, INSIITUTIGNAL OR <br /> H&ALTH CARE•FACIIITIES BE APPROVED BY'TI�'STATE OF WASHWGTON. AYPLICANTS WT1Ti SUCH IOBS : <br />' � MUST SHOW TF�STATE AEPROVED PLrCNS BEFORE CTPY OF EVERET PERIvITf WII,L BB ISSUED. <br />�'.;'ret��, . <br />�M;-,::.. . . . <br /> NOTE:WIltING IN NON—DWELLiNGS IS REQUIRED TO BE IN METALLIC RAC&WAYS (!viC AND AC, ARfi CABLES, <br /> I s,� i� NOT RACEWAYS). <br /> i*''�'-� , — <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TI�SAM&TO Bfi TRUb <br /> AND CORRECf, qLL PROVISIONS OF LAWS AND CRDINANCES GOVERNWG THIS TYPE OF WORK WII,i, BE <br /> i COMPLETED W1TH WE�TFIER SPECCIF"IED HEREIN OR NOT. THE GRANTIIQG OF A PERMIT DOES NOT PRESUM& <br /> TO GIVE AUTHORTTY TO VIOLATE OR CANCEL TH& PROVISIONS OF ANY OTFIER STAT& OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR Tf� PERFORMANCE OF CONSTRUCITON. THAT I AM AUTHORTZED BY THfi <br /> OWNER OF THIS PROPERTY TO PERFORM T'HE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> TFIE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> - X a 9 _�— <br /> Fee <br /> Si natu . Date <br /> ���Z� <br /> �elecepp(!/5/97) <br /> __� <br />