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. �.. -, <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> � <br /> ✓-s��/,'����i��C �7�n�i -�5�=i,���i',�.�rCur n !�f-� 1//,4- `I�ad l -�58 �?o�+ <br /> Owner Mai1 Address City State/Zip phone <br /> Tenant Mail Address . Ciry State/Zip p6one <br /> � � r�(� �(-� -�- 33�1�903� <br /> �\fi�-D,u�r' ' ,�`r� n�c � n� �l j F���i, Y��r.��, 9sl���q ZiU/��r7��aa.� <br /> Electncal ('qntractor Mail Address Ciry �, State/Zip phone State License No. <br /> (/ <br /> Contract Price of Work Proposed Use of Building <br /> ��rR -`S�' ��'�il,�P:C. <br /> Project Address <br /> Description of Work to Be Done:,_ �.���0�,� �( 7��� �Y7 � <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WUkK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHI?dGTON. APPLICANTS 1�JPfH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL 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 EXAMINED THIS APPLICATION AND KNpW THE 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. PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY rl'fHER 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 WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> -. <br /> � �, <br /> i <br /> , Gu/ �C�C� �/l%<f ,�2.J�",On <br /> Fec_ <br /> Signature Date <br /> �--/3,� 7� <br /> ciccepP(J/5/9)) <br />