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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 96201 xp259.8��8rn1,0nn <br /> !-�1f'1'IC C �{1Liifi 8�i2.�1 IF'� (��PJPL IJ(��1�� � � � C• I � �It7J �ol� <br /> Owner Mail Address City State/Zip Ph <br /> one <br /> K I t/w.() 305 '7844pi -. S(k) _ mss r& t0A <br /> Tenant Mail Address City State/Zip Phone <br /> pn P G�t?r {t tc PO t'Y�X iom Qoll�l I Iyi) 56241 POPEI- L o44DF <br /> Electrical Contractur Mail Address City State/Zi Phone State License No <br /> 1.165-5118 \ <br /> -/ <br /> AIC�F. ��bO,OG -I0 I� >ttclpn�;c I - Strla/e �em'�1�4-- <br /> Contract Price of Work Proposed Use of bdilding <br /> 305' 7F ' fl 3tt) <br /> Project Address <br /> Description of Work to Be Done: <br /> Ikep2ir &nfynCAd 2Y Servt <br /> NOTE:WAC 20-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> MUT HOW THE STATEFACILITIES APPROVED SUCH ]OBS <br /> APPROVED PLANS BEFORE CIT WILL EVERET PERMIT WIBEI SUED. <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 <br /> IS TYPE OF WORK MILL BE <br /> COMPLETED WITH WHETHER SPECIFIED PROVISIONSOA <br /> HEREIN OR WS AND NOT.4TTHE GRANTINCES NG H <br /> GF APERMIT 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 AUT14ORIZED 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 IS.. I RCW AND 296.200 WAC. <br /> XC' % Fee <br /> Signature <br /> Date <br /> ct«erc(31319, <br />