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� APPLICATION I'OR �LECTRICAL PERMIT <br /> CI1'Y OF EVERETT <br /> BUII.DING DIVISiON ' <br /> 32(�CEDAR STREET <br /> EVERETT, WA 98201 259-88Y0 <br /> �}/g[l,f�'t /66A3 -/oA!' Sf ��TT ►v� 353�?,195� <br /> Owner Mail Addrus City SGte/Z�p Phone <br /> Tenant blail Address City Stete/Zip Phone <br /> r i <br /> -�,.�, N�-,�:Y,�� /�z�.��l�uL�¢�wx�f wY c�A�vda� ui� r�arvaN�P <br /> Electrical Contractor Mail Address C�ty State/Z�p Phone State Luense Ne�3'� <br /> ��� <br /> Contract Price of Work Yroposed Use of Building <br /> /�bd3 —/O�J 5.�• <br /> Project Address �'/f� ' <br /> y � �,,,[� T7l/'r1rtR'. ��G f/�S�` <br /> Description of Work to Be Done: �tiv/Q�C !t� Lh'r�I// TD aIS <br /> NOTE:IVAC 296-06-140 REQUIFtES THAT PLANS FOR EL£C'fRICAL WORK AT EDUCATIONRL; INSTITCTI'IONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE'STATE OF WASHINGTON. AYPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WII,L BE ISSUED. <br /> NOTE:WIRING IN NON=DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND�AC,'ARE'CABLES; ' , <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE�i THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND OP.:3INFNCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETE� WITH WHHTHER SPECIFIED HEREIN OR hCT. THE GRANTING OF A PERMIT DOES NOT PRBSUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR\VHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW APID 296.200 W:+C. <br /> � <br /> i <br /> i <br /> X �' <br /> .. ,[,+�it4�t-o�o� lo��g3 F� , <br /> Signature Date <br /> !-�r3��5 �� <br /> � ciccnpp(l15193) <br />