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CIT']' OF EVERETT <br />BUII.DTNG DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />���r.�_.. /�YJ/fC�j�Jo <br />Owner � <br />��' � - <br />Tenant <br />APPLICATi�Jrt FOR �LECTRTCAL PERMIT <br />Mail Address <br />Mail Address <br />'�r / <br />�//r. <br />City <br />City <br />S�te!7.ip <br />State/Zip <br />7��� <br />'/�/� <br />'I�►� <br />i <br />P6one <br />Phone <br />17� � � '� — <br />�. (."�%I�1�N f'Jr�h��` /�'/D �r�i�/�/) /1�,uc���t�n. CUA �r173 .�� �/����/�.,r,,�:,,?{,+�,� <br />Elec[rical Contracror Mail Address City Sate/Zip Phone State License No. <br />��.C1. lJ`GG �� �l �7 /'C.c. <br />Contract Price of Work Proposed Use of BuilJing <br />�7zu ly� <br />Project Address <br />Description of Work to Be Done: /�r,- � 'Y �uh /�it'�/�" �1�/ ) �'� � � � �x �'i �,•.+- y %�I'Pcv�//!Ce/i : <br />' <br />L�.� <br />Li'ii1�f � /7'i=Ne'•-�,..,�r,n' <br />/i%O /1�"•'�i� N/i/�' /��O /��./�ii�i� �OF/�S�' /.>Y cZiJi4�w ' /��/ ,L—%k'.�,o�r..� �i/iv/<< <br />7 <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WSTITUTIONAL OR <br />HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCA JOBS <br />MUST SHOW THE STATE .SPPROVED PLANS RiFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WII2ING 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 KNOW THE SAME TO BE TRUE <br />AND COkRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOKK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHOi2ITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THA'I' I AM AUTHORI"LED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITIi <br />THE STATE CONTRACTORS LAVV I8.?7 RCW AND 296.200 WAC. <br />� <br />Sionature <br />eleeapp (3IS19}1 <br />