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CITY OF EVERETT <br />BUILDiNG DIVISION <br />3200 CEDAR S'fREET <br />EVERETT, �'A 98201 <br />.7�f <br />Ownet <br />Teoant <br />Electriul Contractor <br />Contract Price of Work <br />iB i,n .� , S'�' <br />AI'PLICATION FOR �LECTRICAL P�RMIT <br />,rc <br />3' <br />Mail Address <br />Mail Address <br />Mail Addrcss <br />S� L�V�i•rU /c� it O ( <br />City State/Zip <br />��s S.r�,..ts� �:��-5 <br />City State/Zip <br />l= %vsrY/� /i�':�S <br />City State/Zip Phone <br />Proposed Use of IIuilding <br />Project Address / <br />/ tc. � l�O � r' i h 5�%t'c y-1_o �- <br />Description of Work ro Be Done: .2iF <br />259•8810 <br />Phone <br /><,Gg-;��j <br />Phone <br />Stetc License No. <br />NOTE: WAC 296�6-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONnL, INSTITUT]ONAL OR <br />MUST HOW THfi STATE APPROVED PLANS BEFORE CITY OF EVERET ERMIT WILL BE IS�Sl1E W�H SUCH ]OBS <br />NOTE: WIRING IN NON-DWELLiNGS IS RFQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 7'HIS APPLICATfON AND KNOW THE SAME TO BE TRUE <br />COMPLL•TED WITH WHETNER 3PECIo I DAHEREINDOR NOTATHL GRANT NGIN F AHP�RM T DOES NORT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />OWNER FNTHIS PROPERT'Y TO PERFORM THEWORKCFOR WHICH AP LICOATION IS MADE AND 1� OMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RC1i' AND 296.200 WAC. <br />n <br />x Ili/ ,�1.. Y �d' i�i6�"' �_�- <br />Signeturc <br />_ / Dale <br />1 <br />Fee i' ; <br />elecepp (lIS/n7� <br />