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APPLICATION TOR�L�CTRICAL P�RMIT <br /> crrr or EVExsrr � <br /> x <br /> ➢UILDING DIVISION <br /> 3200 CEDAR STREET <br /> F.VERE7T,WA 98201 <br /> 25�-8810 <br /> �ufl�na�oh 1�1of�4�f� �u lfac� �(Od �3our� � �<�rlJ ��SRUf �S9�qG�G <br /> Owuer Mail Address City . Slate/Zip Phone <br /> SG,YL� <br /> Tenant - � Mail Address City Sla�c/Zip Phonc <br /> l�� n� /ar�h�r� Rc;��a�c� <br /> E•Iulrical Contracbr Mail Address City SlatelZip Plmne SLitc Lice„se No. <br /> G'�{'000 <br /> Conlnct Price of Work Pmposed Use n(Building <br /> Proju,t Pddress <br /> I i / <br /> Dacriptionof\VorkloDeDonc: LnS�G�I��GL � .SPd✓i�fi l �l �a Xr3� <br /> Wucc(�ru��F Blcic,• -Fo� aI � r ��nr�s� . C�Isa �� s1y �� 4�o to �ao�avo wi. <br /> Irorslerm�. nn� S;n�nl� /J(ia<F Oc,�F� ( �<�i�s a- lit�/�t� <br /> .���— '— <br /> - NOTE:\4AC 294-06d40 RLQUIRES THA1'PLANS FOR ELLCI'RICAL NORK AT EDUCA'IlONAL,INSTI'TU'fIONAL OR <br /> HEALTH CARL PACILITIGS [3L• APPROVED IIY TFiL STATL OP WASHINGTON. Ai'PLICANTS WITH SUCH 70II5 <br /> MUS'C SHOW THE•STA'I'E APPROVED PLANS BEFORE CfIY OF EVERET PERMIT W1LL BE ISSULD. <br /> NOTG:N7RiNG IN NON-DWLLLiNGS IS REQUIRED TO BH 1N METALLIC RACGWAYS(MC AND AC, ARG CAfiLES, <br /> NOT RACEWAYS). <br /> 1 HHRE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA7'ION AND[:NOW THE SAME TO UE TRUE <br /> AND CORRE•CT. ALL FROVISIONS OF LAWS AND ORDINANCGS GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLG'I'ED WR'H WH6iHER SPECIF[ED HL•RE[N Ok NOT. THE GRAMING OF A PERMIT DOES NOT PRESUTfE <br /> TO GNL• AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE JR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PL-RFOW.?ANCE OP CONSTRUCTION. THAT I Ahf A'JTI{ORIZLD BY THE <br /> OWNER OF THIS PROPHRTY TO PLRFORM THL•WORk:FOR WIi1CH APPLICATION IS MADL• AND I COTIPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. <br /> x I/ /N.�,c�'!/. /��� q�3 -`�3 r�:�a,on <br /> �Signaluro D��� <br /> clmepp O/5191) <br /> " _ _ ._�-x:3....... _ ..,� <br />