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APPLICATIO� : FOR �L�CTRICAL P�RMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 9R2U1 <br />`� �3�7� <br />259•8810 <br />��n% .i����o�T rON51 2vci�o.J PJ l�c�( ��$� SNolbMiJH h/n 9k?9i 7�S-/S/i <br />Owner Mail Addrcss Ciry State/Zip Phon: <br />N/�{ <br />Tenanl Mail AdGress Cily Stale/Zip Phooe <br />'�C l <br />�f�/JSE�./ �Ct�'T�C�c ����0 zZ••� STJE (.Vt2�� 4r/� y�i�,i" 33Y-9?Yr �%/1N1Ec /ZLNA <br />Elutrical Contnctor Mail Address City Slale/Zip Phone State Liceose No. <br />.JL9d0.�o -SI �— <br />Contract Price of Work Proposed Use of Building <br />?60l lollr .Si SE <br />Project Address <br />Descriptioo of Work lo Be Done: �OM P Lt 7C �..11 K l� L C� F ii /�/E W .S !NG Ct _ <br />���i�t� /�E5/utrocf �. �o., qMP _ <br />NOTE: WAC 296-46-140 RE•QUfRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATiONAL, INSTTTUTIONAL OR <br />HEALTH CAfiE FACILiTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WI'IIi SUCH ]OBS <br />MUST SHOW TF� STATE APPROVED PLANS HEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: W(RiNG IN NON-DWELLINGS iS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND nC, ARE CABI.ES, <br />NOT RACEWAYS). <br />I HEREDY CERTTFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND COILitECT. ALL PROVISIUNS OF LAWS AND ORDINANCES GOVERNING THIS 7'1'PE OF WORK WiLL BE <br />COMPLETED WITH WHETHER SPECIFIED IicREIN OR NO'C. THE GRANTING OF A PERM[T DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION QR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED HY TI�E <br />OWNER OF THIJ PROPGRTY TO PERFORM TFiE WORK FOR WHICFI APPLICATION IS MADE AND 1 COMPLY WITN <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X r- �YL �^'�� � /� ' I � � <br />Sigreture �� <br />$ Z a'� <br />r•w � <br />�i«err �isra» <br />