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�K <br /> r.. <br /> PIR <br /> 1 1 <br /> �EAPy <br /> APPLICATION FOR ELL'CTRICAL PERMIT 40lnyt, <br /> A Mc CPY OF EVERETT <br /> y BUILDING DIVISION <br /> 3200 CEDAR STREET 0#[-7T <br /> n EVERETT,WA 98201 259-8810 <br /> IVH -4 <br /> H0 <br /> CA H �P <br /> Qy E Owner Mail Address City State/Zip <br /> OH <br /> c�• n — <br /> zy Tenant Mail Address City State/Zip Phone <br /> x <br /> HH <br /> g ti <br /> t7 CIN <br /> q r Electrical Contractor Mail Address City L State/Zip Phone Slate License No. <br /> Contract Price of Work Proposed Use of Building <br /> /y 59 PL Oat Lof WI <br /> Project Addrers <br /> w Description of Work to Be Done;_ 7oa&4 /WIAK .s/CAI RES/dc,t.C£ <br /> w� <br /> 'e <br /> NOTE:WAC 29646-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> 0 1w� HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH ]OBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH 'WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND i COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X r e.ZFi� Q- "//7'1_93 Fee j.5r,om <br /> Signature Date <br /> d«.rr(315/93) <br />