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h <br /> , <br /> i <br /> I - <br /> � <br /> I APPLICATION FOR �L�CTRIC��L P�ItMI I' <br /> ` L�O'��`6? <br /> i <br /> � CITY OF EVERETT <br /> ; BUILDI:JG DIVISION <br /> � 5200 CEDAR STRfiE1' ' <br /> I EVERETT,WA 98201 259-B8f0 <br /> ��N�ivc r,v����' g� o� _ l�'i} �. Sr FV %�i+ �y� u� <br /> Owner Mail Address City State/Zip Phune <br /> Tenwt Mail Address City StatelZip Phone <br /> ��]E�-( <br /> y�l t(�1�.�'T'Y CU=. ;oi� /<RaH��/� r-_v. wA • 9y�ui 2�'z-Y�9� N1 �6!,w�y79ct' <br /> Eleclrical Contractor Mail Address City Slale/Zip Fhone State iicense No. <br /> S F2 -- <br /> Conlr:ct Price of Work Proposed Use of B�ilding <br /> d�0c� — i�TH �E_ S� <br /> Project Address <br /> DescriptionofWorktoBeDone: ��� 2�z S�a14D Iu - dUTU 1 S ��-5�����1 �' �U'¢��% <br /> SU ►�s' 1�At��L � I/�-� �Rr /+ p1�T�o�J DurL!z,C � �l613�S <br /> NOTE:WAC 296-46-146 REQUIRES THAT PL.ANS FOR ELECTRICAL WORK AT EDUCATIONAL, iNSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF PJASHINGTON. APPLICANTS WITf; SUCH JOBS <br /> ?v1UST SHOW THE STATE ARPROVED PLANS BEFORE CITY OF EYERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING SN A`ON-DWELLINGS IS REQUIRF.D TO BE ;N METALLIC ;tACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEG 7'HIS Al'i'LICATION A?ID KNOW THE SAME TO BE TRU& <br /> AVD CORRECT. ALL PROVISIONS OF LAWS AND ORDl',dANCcS GOVERNING 7HIS TYPE OF WORK WILL BE <br /> COMPLETED R7TH WHETH�R SPECIFIED HEREIN OR NO'P. 7'H"r. GRANTING OF A PERMIT DOES NOT PRESL"ME <br /> TO GNE AUTHORITY TO VIULATE OR CANCEL THE PROV3510NS OF ANY OTHER STATF OR LO�At. LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAi I AM AUTHORIZED BY THE <br /> OWNER OF THiS PROPERTY TO PERFORM Thr.WORK FOR WHICH APPLICATION 1S MADE AND I COMPLY WITH <br /> THE STATE CONTRACI'ORS LAW :8.27 RCW AND 296.200 WAC. <br /> uo <br /> X ,� � S�� -S-9� F� z S — <br /> , <br /> S gnature � Dale <br /> elccnpp(!/5193) �. <br />