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�� � <br />CI7y OF EVERET'1' <br />DUILDINC DIVISION <br />32W CEDAR STFt�ET <br />EVERETT, WA 98201 <br />� iC <br />01VDf.f <br />Tenenl <br />Elxlrical Contractor <br />APPLICATION I�'OR �L�CTRICAL p�ItMIT <br />C A/=- i <br />Mail Addrcss <br />Mail Address <br />c !� � �. � <br />Mail Address <br />Contract price of Work <br />�,3/ 3 7<•�u 5T <br />Prqect Address � � <br />Description of Work to Be Done: _ �( t�.,_ <br />City State/Zip <br />� <br />� <br />i <br />Phone <br />City Slate/Zip <br />Phooc <br />S.�r.y..7.,.r :�iR 9P�9.� <br />77y-Si. oirnF iC <br />City Sfale/ZiP Phoae � � <br />State License No. <br />�S l- ,� <br />Proposed Use of Building <br />NOTE; WAC 296-46-140 REQ[/[ItEg 7'yAT PLANS FOF. ELECTRICAI. Wp�( AT EDUCATIONAi, INSTITIJ770NAL OR <br />��'TH CARE FACILITIES BE APpROVED BY THE STATE OF WASHINGTON. APpLICAN]'$ WjTH SUCfi JOBS <br />MUST SHOW THE STATE pppRpygD PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIR[NG IN NON-DWELLiNGS IS REQUIRED TO BE IN METALLIC RqCEWAYS (MC AND AC, q� CqgLES, <br />NOT RqCEWqyg�, <br />I HEItEQy CERTIFy'�qT I HAVE READ AND EXAMINED THIS APPLICATION AT/D ((�01V THE SAME TO BE TRUE <br />AND COItRECT, ALL PROVISiONS OF LAWS AND ORDINANCES GOVERNING 7HIS TYPE OF WORK W(LL BE <br />CJMPLETED WITH WHETFIEF SPLCIFIED HEREM OR NOT. THE GRANTINC OF A PERM[T DOES NOT PRE£UME <br />TO GIVE qI7'[�Hp�Y TO VIOLATE OR CANCEL THE PROVISIONS OF .4NY OTHER STATE OR LOCAL LAW <br />RLGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTkUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TT;IS PROPERTY TO PERFORM THE WOW{ FOR WIJICH APPLiCATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 1g,27 R�y AND 296.200 WAC. <br />X ,%-._ ' i>/' <br />3 =�. (. <br />Dale <br />Fcc�_ <br />ci«err O�siq» <br />