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_� <br />CIIY OF EVERETT <br />BUILPING DM3ION <br />3200 CEDAR S'CREET <br />fiVERETT, WA 98201 <br />VIACOM CABLE <br />Owner <br />ienao[ <br />., . <br />; ,. . <br />APPLICATION FOR ELECTRICAL P�1�i�'r' �Q [fy <br />� <br />...... ApR 2 0 �n.r) <br />14870 NE 95TH STREET REDMOND 98052 <br />Mail Addrcss City <br />Address <br />City <br />p�6H� �,vof�s �R� <br />745-8400 <br />State/Zip <br />259-8810 <br />Phone <br />OWNER <br />Electricaf Contnctor Mail Addrcss Ciry State/Zip phoue State Liceose No, <br />C�ntract Pnce of Work Proposed Jse of Building <br />VIACOM <br />Project Address — <br />Description of Work to Be Dooe: CATV POWER SUPPLY – BI ANRET PERMIT PER ATTACHED LISTING <br />Via �n will call when readv for insaection alora with saace N at 620 112 ST SE <br />NOT'E: WqC 296-4b-140 REQTJIRES'I'HqT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, IN5ITPUITONAL OR I <br />HEALTH CARE FACII.ITIHS SE APPROVED HY THE STATE OF WASHINGTON. APPLICANTS WiTfi SUCH JOBS <br />MUS'C SHOW TF� STATE APpROVED PLANS BEFORE CITY OF EVERET PERMIT WQ.L BE ISSUED. <br />NOTE: WIRIA(G IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br />NOT kACEWAYS). <br />1 HEREBY CERTIFI' THAT I HAVE READ AND EXAMINED THIS APPLICA'I70N AND ICIJOW TEiE SAME TO BE TRUE <br />fND CORREC'[', ALL PROVISIONS OF LAWS AND ORDIN/WCES GOVEiWING TH75 TYPfi OF WORK WII.,L &E <br />COMPLETED WITH •.VI-IETF[ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHOC.ITY TO VIOLATE OR CANCEL THE PROVISIONS OF AM' OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCf10N. THAT I AM AUT'HORIZED HY 'I'HE <br />OWNER OF THiS PROPERTY TO YERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />'!'HE STATE CONTRAC7'ORS L.4W 18.2J RC�4 AND 296.200 WAC. <br />�� <br />Signeture <br />Dale <br />( 5 svcs @ $30) <br /><IecePP (]/S/9' <br />