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,vwi r"y <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CIT'Y OF EVERETT <br /> IIUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br />� ��j �9',y2.��. 1�t �aS' N C�-1' w�l �,.�e// 9�0// ��3 ' Y�3C� <br /> �.A.��.. b�.,r.r Rd �►1 t d 7.�a f 4'7�i a�,�' �u� aJQ� , 9'f�l2 <br />' Owncr Mail Address City State/Zip Phone <br /> Sabwb•Y 10730 /.�'�1 �►v'� �5. � ��1X2�(r wa� 9go��- <br /> Teuant �� � Mail Address Ciry State/Zip • Phonc <br /> ���� �G �C, �lao l�iG1h� ..suJ �i�N��d ��.. 9�0�6' �n%v��`�io�iv.z. <br /> E�I cal ContracWr Mail Address City Stale/Zip Phone State Licensc No. <br /> %b 5�� 'z�y-��'c� • <br /> ��.��k S�� <br /> Conlract Price of Work Proposed Use of Buildiug <br /> 1����sc//k �-✓�- �' �t1c'T� <br /> Project Address • <br /> Description of Work to Be Done: �t in,N� li i(/(�ll`�p✓�'/� �`/Il� /Qdd/l�/Ci �/Y1.1" <br /> "�- <br /> /��'WJ G�"F2G'�l 1 S -�^ �Vt'iSG • .Gv�°Q,° � -- <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECI'RICAL WORK AT EDUCATIONAL, INSTfN1TONAL OR <br /> HEALTFI CARE FACIL.ITIES BE APPROVED BY'Tf� STATE OF WASHINGTON. APPLICANTS WiTH SUCH JOBS <br /> MUST SFiOW TI�STATE APYROVED PLANS BEFORE C1TY OF EVERET PERIvIIT WII,L BE ISSLTED. <br /> NOTE:WIRiNG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIF]'THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAML TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE I <br /> COMPLETED WITH Wf�I'HER SPE('IFIi:D HEREIN OR NOT. THE GRANCiNG OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOi.ATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUC170N OR THE PERFORMANCE OF CONSTRUCITON. THAT I AM AUTHORIZED BY T1iE <br /> OWNLR OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATlON IS MADE AND I COMPLY WI'fH <br /> THL STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> .. X� �' Y/ '� I� ' / Fec� . <br /> ignature Date <br /> �13�� <br /> �i«ora�is �3� <br />