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r <br />� APPLICATION FOR LL�CTRICAL PERMIT <br />' C1TY OF EVERETI' <br /> BUILDINGDIVISION � � l�� (^ <br /> 3200 CEDAR STREET / <br /> EVERETT, WA 9E201 <br /> �� � 259-8810 <br /> � 35;-GS�'� <br /> L✓'ow � ,.. I�-�� � <br /> " � Owner Ma�l AddressN �J`;L� � � . �YZo 1 3"Z�{-77 �5 <br /> ( '�`� � C�ry Sfate/ZiP Phone <br /> - . <br /> i <br /> i� rt` : '. <br />�� '�fi�`': � . <br />� � n� '' Tenant Mail Address City State/Zip Phooe <br /> g ,, ., <br /> Y WIr4-R-✓,�E Y3 �7.� <br />`4 � � 1�U!-2JL-'L Uec.-rt�ic l�.o. (;� x s'75 � �✓c.�tl w .R-- C�zot 33i -3-� <br /> i Electncal Contractor Mail Address ��"L w ti , <br /> City State./Zip Phone State License No. <br />'i C�t';�. . <br />�� ';_�- . 3, nvo — . <br />. . �1/..�c" �wJ . .�c-,.. cL <br />�-�.�j:'.��.,' Contract Pnce of Work <br /> t :, Proposecl Use of Bu�ldmg <br /> rt <br />' �'7/ '7 /O — D/1� v� _{: E. <br /> Projut Address <br /> Description of 1�ork to Be Done: N�W �e.ri�)�.ve` <br /> NOTE:WAC 296-46-]40 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL, OR <br /> HEALTH CARE FACILTTIES BL APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOSS <br /> MUST SHOW THE STA7'E APPROVED PLANS BEFORE CITY OF EVERET PER1ciIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUI:tED TO BE IN M�TALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINL-D THIS ,4PPLICATION AND KNOW THE SAML TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF 1i'ORK WILL BE <br />, COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OP A PLRMIT DOES NO'1' PRESUhiE <br /> TO GiVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHE� STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PL-RFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OP THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPi.ICATION IS MADE AND I COMPLY WITH <br /> THE STATE CGNTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> i <br />! X n <br />' �/,�i�� %�,a-r,��,,,� �//�1/y `�( <br /> � Fee <br /> / Sionature — <br /> Date <br />�i ��s�� <br /> �i�oorv(��s��: <br /> I <br /> I <br />