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APPLICATION FOR�LECTRICAL P�RMIT <br /> C[7'Y OF EVERETI � <br /> BUILDING DIVISION <br /> 3200 CEDAR 57REET <br /> EVEREIT,WA 98201 <br /> 259-8810 <br /> �� h.c� �uy��Nso.� �(o/ /�R�C-��� �i��clf lb.ci ��aci �.5;�- ao�� <br /> er Mail pddress City State/Zip Phone <br /> Twmt � �- � Mail Address . City Slatc/Zip � Phone <br /> /Gil��SS,.� -1!-ec��c. ,7Sos f��a Sj" ,,��ec'7 �G'N< if'su/N�Y���S/ ,G'lc�sFT-�s3ic�c. <br /> Elatrial Contnctor Mail Address City State/Zip Phone State License No. <br /> � ;1 <br /> �%/r� � �i' <br /> Conlact Price o(Work Proposed Uu o(Huilding <br /> Projecl Address . <br /> Descriplion of Wark to Be Done: /iU/ti�/�\ <br /> I <br /> f <br /> NOTE:WAC 296-06-140 REQU[RES THAT PLANS FOR ELECIRICAL WORK AT EDUCATIONAL,IN51'il'UTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROV=D BY THE STATE OF WASHINGTON. APPLICANTS WITf; SUCH )OBS <br /> MUST SHOW Tf�STATE APPAOVED PLANS BEFORE CITY OF EVERET PL•RMIT W[LL BE iSSUED. <br /> NO"fE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN MEI'ALLIC RACEWAYS(MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). � <br /> I HEREBY CERTIFY THAT I HAVE READ AND SXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECI'. ALL PAOVISIONS OF LAWS AND ORDINANCES GOVERIv1NG 7HI5 77PE OF WORK WILL HE <br /> COMPLECED WITH WHETHER SPECffIED HERcIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUMH <br /> TO GIVE AUTHORITY TO VIOLA7'E OR GINCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 'I'HAT I AM AUTHORIZED BY 7'HE <br /> OWNER OF 7'HIS PROPERTY TO PERFORM 7'HE WORK FOR WHICH APPLICA7TON IS MADE AND I COMPLY WITfI <br /> THE SfATE CON7RACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �..UP <br /> l/lz,...,,.,.. �-.�a�3 F� ;� <br /> Signamro , Dale <br /> �i�� <br /> cleuPP 0/519J� <br />