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t��� <br />9H <br />.o�x <br />C H <br />�H�n <br />K�n <br />H �1 <br />'z] H '�J <br />C/J H <br />H t' <br />�O� <br />OH� <br />H�g <br />�Y �] <br />�H� <br />t-� H <br />gN <br />H <br />c]Cy <br />��M <br />Z H C/� <br />HOv� <br />_� <br />�� <br />APPLICATIQN P'OI2 �L�CTRICAL P�RlliIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREEi' <br />EVERETT, WA 98201 <br />. <br />. �-" — <br />I�rl� �l`N/7-c�`�o-j�i� <,'�/��.2 �fC�/%�/i/',Yt�� �i.i��� Jt%�/i�z- <br />Owner Mail Address City State/Z�p <br />Tenant <br />Electrical Contractor <br />Mail Address <br />Mail Addross <br />Contrncl Price of Work <br />,J SC' � 7 �� S i <br />Projec[ Address � <br />Dascription of Work lo Be Done: <br />City Stute/7_ip <br />City State/Zip Yhone <br />Proposed Use of Building <br />_ �'�. � 'rS 7T <br />) <br />Cf�C<Ccc ��.i �l/%1/' .; �"t , ;: t_� .')! �r <br />-� : <br />,�c. ��_.7l 7�� <br />i t/� 7 <br />Phone <br />Phone <br />State License No. <br />NOTE: WAC 296-A6-I40 REQUIRES THAT PLANS FOR ELLCTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH ]OBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PER1�41T 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 CER"CIFY THAT ! HAVE READ AND EXAM WED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROV1510NS OF LAWS AND ORDINANCES GOVLRNING THIS TYPE OF WORK WIL[. BE <br />CCMPLLTED WITH WHETHER SYECIFIED HEREIIJ OR NOT. THE GRANTING OF A PERMIT DOLS NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />RGGULATING CONSTRUCTION OR THE PERPORMANCE UF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWi�ER OF THIS PROPLRTY 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 />� ,l�l' C <br />Sienature <br />"� i�/ J <br />Date <br />Fe,r . "i ) `'. <br />��� <br />� <br />,�;�� b <br />� ' <i:�nrr ca�si9�i <br />