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HxC�H <br />[�1 ty+7 � <br />D:ux <br />�xHt~i� <br />Hx� <br />tC c] <br />H 7�+ <br />oxo <br />�VJH <br />xp <br />H <br />O .`-yi d <br />H�g <br />(�]Y �] <br />zH�yH <br />rHy <br />N <br />c�Cy <br />��M <br />HOfNi� <br />� <br />1 `� <br />Al'PLICATION I�'OR LL�CTRIC��L P�RIVIIT <br />CITY OF EVL-RETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />LVERE'iT, WA 98201 <br />259-8810 <br />- �i _ r - i <br />��)ot�) l��'F;r�ii r'i2 ,^ `i/�; - `.; . � r /�.4- <br />Owner Mnil Address � City � State/Zip Phoue <br />Tenanl <br />��nrt,t�;y r�a:� <br />L-leclrical Conlraclor <br />Contract Price of Work <br />bfail Address <br />Mail Address <br />��� <br />�i <br />, � `i/ `l - % `� - .� i � ���an: �� f�T <br />Projut Address <br />City Smte/Zip <br />jJq ZL'� <br />City State/Zip <br />c � ,r <br />Ptoposed U:e of Building <br />Yhane <br />DescriptionofWorktoBeDone:_ �[��' :'!=�'"'�" `-'f�'!%'='= <br />��;-, ;;,� r,� � ,� . <br />Phooe <br />(c,r.e!rt /2i.� , <br />SL1te License No. <br />NOTE: WAC 296-06-140 RL-QUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIT[JTIONAL. OR <br />HEALTH CARE FACILITfES IIE APPROVED BY THE STATE OP WASiIINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATL APPROVED PLANS BEFORE CITY OF EVERET PL-RMIT \VILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLiNGS IS REQIDF<ED TO BE IN METALLIC itACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMf�LD THIS APPLICATION AND KNOW THL- SAME TO T3E TRUE <br />AND CORRECT. ALL PROVISiONS OF LAWS �WD ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED IiLRLIN OR NOT. THE GRAPITING OF A PLRMIT DOLS NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCLL THE I'ROVISIONS OP ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCL• OF CONSTRUCTION. TfiAT I AM AUTHORIZED BY 'IIiE <br />OWNER OF THIS PROPLRTY TO PERFORM 7'HE WOR}: FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />Tf�iE STATE CONTRACTORS LAW 15.27 RCW AND 296.200 WAC. <br />X - - "' — <br />�i.�, -r.ra;i . ,n , :,�.�.e .. L'-l'� -�' _ Pcc� 7 <br />� Signaturo . u'��" <br />eiecopp (!15193) <br />