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CIT'Y OF EVERETf <br />BUII.DING DMSION <br />3200 CEDAR STRE&T <br />E��TT, WA 981A1 <br />w <br />own�� <br />� <br />AI'PLICATION FnR �LECTRICAI:, PEkMIT <br />�_ P, o <br />Mul Address <br />SI � <br />M�il Address <br />Eb�ctrial ContncWr M�il Addrcss <br />Contrect Price of Work <br />�o,� )3� � s <br />City <br />� S � SC S�e,a� <br />E 1Sc?�i%�Ov�Je <br />StatdZip <br />J,l,u � <br />54te/Zip <br />eo��T <br />City State/Zip P6one <br />Proposed Use e Bu� ild � <br />�(.V �� /OI sr SE C,I�SQNNowe� COV`� 1 <br />� Project Addreas ` „ <br />�_ Descriplion of Work to Be Done: <br />259-8810 <br />`�'�S-� 319 <br />9 y8�90 <br />Phooe <br />Phone <br />S4te Liceose No. <br />NOTE: WpC 296-46-140 REQ1JIIiES TE[qT pI,qMS FOR ELECTR[CAL WORK AT EDUCATIONAL, WSTITU170NAL OR <br />N&ALTH CAR& FACII.ITIES B& APPROVED BY THE STATS OF WASHINGTON. APPLICANTS W1'I'g SUCH JOBS <br />MUST SHOW TFIE STATE APPROVED PLANS BEPJRE CITY OF EVERET PERMIT WIL;[, B& ISSUED. <br />NOTE: WIRIT�a W NON•DWELLiNGS IS REQUIR&D TO BE IN METALLiC RACEWAyS (MC AND AC, ARS CABLES, <br />NOT RACEWAYS). <br />I HERfiBY CERTIFY 7'HAT I HAV& REqD pND EXAI�fINED TFIIS APPLICATTON AND IWOW '� SAMfi TO B& TRUE <br />AND CORRECI', pi,[, pR0�1SIONS OF LAWS AND ORDINANCES GOVEiWINp '!'H]g Typfi OF WORK lVII,[, HE <br />COMPLETED W17'y WHE7'){ER SPECITIED HEREIN OR NOT. THE �RANTINp pF A PfiRMiT DOES NOT PRESUM& <br />TO �iVE pU7�yp�7'y TO V]OLATE OR CANCEJ. 7'HE PROVISiONS OF ANY OTHER STATE OR LOCAL LqW <br />REDULATING CON57'RUCTION OR THE PERPORMANCE OF CONSTRUCTION. THAT I AM .qUTHORIZfiD BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TH& WpRI( FOR WHICH APPLICATION IS MAD& qND I COMPLY WITH <br />7iiE STATE CONTRqCTORS LAW 18.27 RCW AND 296.20o War <br />yrd�i <br />Fee <br />elecePP C�lSN7) <br />