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I <br /> ���� <br /> �\ APPLICATION FOR �LECTRTCAL PERMIT <br /> CIT'Y OF EVER$T-I' <br /> BUILDING DNISION <br /> 3200 CEDAR STRF.ET <br /> EVERETT, WA 98201 <br /> 259-88Y0 <br /> L��GL,��I / 3�� - /o�'''s�f �vr�ir�71� /�JA Goao I �,5� a;'S'�� <br /> Owner Mail Address <br /> C�ty State/ZiP Phone <br /> � <br /> � <br /> � `�� .2� -e f, �`` A 1�c ✓ � <br /> Tenant Ma�l Address C�ty State/Zip Phone <br /> �LrG��,E�wc7.ric- '�/.7'���.� .�o f �� �;G� i�,�?ai ��5�?- �r�'�'7 ��'�/yL'S'/� <br /> .:leclrical Con ractor Mai1 Address C�ty Stale/Zip Phone State License No. <br /> � / / <br /> Contract Price of Work ���rf��Q ( <br /> Proposed Use of Building <br /> /3oG - ;a7a sf <br /> Pro�ect Address <br /> Description of Wo�!c to Be Done: �L %P/2 p (J �p v y� � p ¢- �U//, ,_,� �/ U✓ <br /> �D�D / T/o� ) <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRIIrG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE Cq _nS, <br /> NOT R,�CEWAYS). <br /> I HEREBY CERTIFY 7'HAT I HA'✓E READ AND EXAMINED THIS APPLICATION AND KNpW TAE SAME TO BE TRUE � <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMI7' DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE UR CANCEL THE PROVISIONS OF ANY GTIiF.F. STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERF(?BMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACfORS LAW 18.27 RCW AND 296.200 WAC. <br /> X c� \ °''1l i/- ia - �� F� ��'�, ac� <br /> Signature / Date <br /> decnrP C�/5/97; <br />