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APPLICATIOIV' FOR �LECTRICAL P�RMIT <br /> CITY OF EVERETT <br /> BUILD1Nr, DIVISfON <br /> 3200 CEDAR STREET <br /> EV?iRETT, Wq 96201 <br /> 259-8810 <br /> �'�,ss� I c�,��, s� ,��,� � � y � ��� �!=> > ,� � �- ���, ���� �� �. ��� , �����z <br /> , <br /> Owner Mail Address City Slate/Zip Phone <br /> Tenent Mail Address City State/Zip P600e <br /> ��LL')')P_1 J <br /> Electricel Contractor Mail Address Cily Slate/Zip Phone Stete License No. <br /> r c�.� 4� (�/ <br /> -- ,� 5 Ut.� —� /`QS � �Xt UC �J <br /> � <br /> Contrect Price of Work Proposed Use of Building <br /> _161._'_[L' - � �Sf�� /`.1 s)� <br /> Project Address <br /> � I � � � <br /> Descriptioo of Work to Be Done: _ ��t�1� �� (:' (C� ��v� � �cl t� � ✓� (/i � � � ��� ��� <br /> �o rv� <br /> NOTE:WAC 296-46-140 REQU!RES THAT PLANS fOR ELECfRICAL WORK AT EDUCATiONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APF'LICAfTI'S WITH SUCH JOBS <br /> MUST SHOW T.�IE STATE APYROVED PLANS DEFORE CITY OF EVERE7 PEAMIT WILL BE iSSUED. <br /> NOTE:WIRING IN NON-DWELLiNGS IS REQUIRED TO BE IN METALLIC RAC�WAYS (MC AND AC, ARE CADL[S, <br /> NO'C RACEWAYS). <br /> I 1{EREBY CERTIFY 7'HAT 1 HAVE READ AND EXAMiNED THIS Ap^LICATION AND KNOW THE SAME TO DE TRUE <br /> 11�YD CORRHC[', ALL PROVISIONS OF i,AWS AND ORDINANCES GOVERNING THIS TYYE OF WORK WILL BE <br /> COMPLETED WITIi WHETHER SPECIFIED HEREIN O1L NOT. THE GRAN'fING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLA'I'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL L.AW <br /> REGULATTNG CONSTRUCTION OR THE PERFORMANCE OP CONSTRU(.'TION. THAT I AM AUTHORIZED AY THE <br />` OWNER OF THIS PROPERTY TO PERFORM THE WORI: FOR WHICH APPLiCATION IS MADE AND I COMPLY WITH <br /> 'fHE STATE CONI7�ACT0[2S LAW 18.27 RC�( �AND 296.200 WAC. <br /> l'��.� s St I C C h5'f v�•c 'T , t- -, �n �_ <br /> ) "� <br /> X � <br /> �i � .. l � I � 'i� r��5 - <br /> Signature ✓�c� Date <br /> u2��3 <br /> �i«err Oisroi. <br />