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� � <br /> � <br /> �L APPLICATION FOR �L�CTRICAL PERMIT <br /> CITY OF EVERETI' � <br /> BUILDING DNISION <br /> 3200 CEDAR STREET <br /> EVE•RETT,WA 98201 <br /> 259-B8f0 <br /> Q',� - I <br /> U7i�l� �.c�i�'ir�/ .{�' "� �G �/� j�j/ti,r•�7T i ' �'Q�C'I �<� i`�SS� <br /> Owner Ma�l Address Ciq• Slate/Zip � Phone <br /> Tenaut � � Mail Address Ciry Sule/Zip - Phone <br /> � ` � ,r: <br /> .L I /_- ' )ii.�7C,.5 : '/�L.�:' <br /> / � � � � . -�'1L�/�i� "'i, l <br /> nr �.Ci u %L c'i�r[7�i:=r N_ l / < �%' i�' �� " a ./�/��� <br /> Elcctncal Contracto: Mail Add¢ss City Stale/Zip Phone State License No. <br /> :-;.?L-% <br /> Contact?rice of Work Proposed Usc of Huilding <br /> '�i .- �... ) � _ _ <br /> �%����. ' l5 �� � l ���.�L/�- T <br /> Project Address , <br /> 7 /� " ' 1 <br /> DucriptionofWorkloBeDonc: �C��ii/(�'•i _) _�`�.�.��i�( . � ,'�(..,�.�., �� <br /> / <br /> NOTE:WAC 296-46d40 REQUIRES THAT PLANS FOA ELLCIRICAL WORK AT EDUCA7'fONAL, INS'PI'1'UTIONAL OP. <br /> HEALTH CARE FACILRIES BE APPROVED BY THE STATE OF WASHINGTON. .4PPLICAP7TS WITH SUCH lOBS <br /> MUST SHOW THE STA'f'E ApPROVED PLANS BEFORE CCfY OF EVERET PER3vIIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED'ib BE IN METALLiC RACEWAYS(MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE kEAD AND EXAMiNED THIS APPLICATTON AND KNOW THE SAME TO BE TRUE <br /> AND CORREC'[', pLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7YPE OF WORK WILL BE <br /> COMPLETED WITH W}iETHER SPECIFIED HEREW OR NOT. THE GRANTiNG OF A PERMIT DOES NOT PRESUME <br /> TO GNE AU7'HORITY TO VIOLA7'E OR CANCEL THE PROVISIONS OF ANY 07'f1ER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCI'ION OR]'HE PLRFORMANCE OF CONSTAUCI'ION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPER'fY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STATE CONTRACfORS LAW 18.27 RCW ANU 296.200 WqC. <br /> i <br /> X � `� / � �_ S�-�' ' <br /> �; � � � � Fee <br /> /� �� Signature - �� Dale <br /> clmapp n/5/9J7 <br />