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APPLICATION rOR �L�CTRICAL P�RMIT <br />CITY OF E1'ERETT <br />IIUILDING DIVISION <br />3200 CEDAR S7REET <br />E�'ERETT, WA 96201 <br />� <br />259-8810 <br />R�.•,.n .� 'S'<_�. � 4�� �-.�r 'l s. r. r, .� l n-� Fi H l� i �� �,� 3 <br />Owner Ma�l AJdres City' ^ SWWZip Phone <br />Q �'r Ea� � 'lsr�n � a«� F,� f1 ��w qhzc,�l �4� t�ly? <br />Tenant � Mml Address City SfalelZip � Phone <br />S�9Y10 W <br />GC � 'Lo q �n .A L . -2b�1� Oeu •.1_- p <br />Elutrical ContraUor Mai1 qddrus ity SUId ip phoue State License No. <br />tl �IG�. Zr. Sa�_s :� c�-C�-4.c � <br />Contract Price of WorA � Proposed Use o(Building <br />lkoc� `_c.uc-cn£ec�J 1..�`��..1 � <ce�'4- 41R- <br />Frojmt Address <br />Ducnplion nf Work to De Done: n� 4 iz 1-1 _ a } �., j� <br />T2n��ti u I nn p.,n � <br />NOTE:IVAC 296-06-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, IN517TUTIONAL OR <br />fiEALTH CARE FACILTTIES HE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH I06S <br />MUST SHOW THE STATE APPROVED PLANS BEFORL• CII'Y OF EVERET PERMII' VI1LL BE iSSUGD. <br />NOTG: WIRING IN NON-DWELLiNGS IS REQUIRED TO BE IN METALUC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RICEWAYS). <br />I 2iERE•Qy CERTIFY 7"HAT I HAVE READ AND EXAMINED'I7i15 APPLICA7'ION AND KNOW THL SAhfE 7'O BL• TRUE <br />AND CORREGT. ALL PROVISIONS OF LAWS AND ORDINPNCES GOVERNING THIS TYPE OF \VORK N'ILL D6 <br />COFiPLETL•D WITH WHEI'HER SPECIFIED HEREW OR NOT. THE GRANTING OF A PLRMIT DOL•S NOT PRLSUh1E <br />TO GIVG AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />RE•GULATING CONSTRUCI'ION OR TH5 PL•RFORMqNCG OF CONSTRUCfION. THAT I AM AU7'HORIZED ➢Y 7'HE <br />OWNGR OF 7"}]IS PROPPRTY TO PERFORM THE WORK FOR WfiICH AFPLICAT[ON ]S MADL ANU I COMPL)' WlTH <br />THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />AV <br />Dale <br />�9eo <br />r�� <br />a«..r Oisi9» <br />