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Cfi'Y OF EVERETT <br />BUII.DING DNISION <br />3200 CEDAR STREET <br />L-VERETI', Wp 98201 <br />'j�� i��- /1 �w �i�/ <br />oume� <br />APPLICATIOl`i I� OR LLECTRICAL pLRN[IT <br />i�i� lv.i��; <br />Mail Address <br />Tenant . .. � Mail Address <br />/"1 �- ' � <br />Electrica! Contraclor Mail Address <br />5�,;� <br />Contract Pnce of Work <br />Project Address <br />Description of Work to Be Done: _ �ZL�2✓/�2 i,✓, <br />_ �.i� .i �.�'� -Ct� j c,;�; �'S <br />C��Y SL1te/Zip <br />i:ilY State/Zip <br />City State/Zip Pl�one <br />Proposul Use of Building <br />ti� ✓L� � jJi'�t.�L j c� /��'I C <br />259-88Y0 <br />s' S Sj • �ia � <br />Phone <br />_-----_ <br />Phone <br />State License No. <br />�� <br />NOTE: WAC 296-46-140 REQUIRgs'I7-IAT PLANS FOR ELECTRICAL WORK Ai i:DUCATIONAL, INSTITUTIONAI. OR <br />HEALTH CAP,E FACILITIES BE APPROVED BY THE STATE OF WASHII:::TON. APpLICANTS 1VITH SUCH JOBS <br />MUST SHOW' THE STATE ppPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN �fETALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBI' CERTIFY THAT I HAVE READ AND EXAMINED THIS APPiICATION AND KNp�y Z'HE S,rLyIE TO BE TRUE <br />AND COItRECT. ALL PROVIS?ONS OF LAWS AND ORDINANCES GO'JERNING THIS T7'PE OP �VORK WILL BE <br />COMPLETED WITH WHETHL•R SPECIFIF� HEREIN OR NOT. THL GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHOI2ITY TC V10LATE OR CANCEL THE PRQVISIONS OF ANy pTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORM,AT�7CE OF CONSTRUCTION. THAT I AM AUTHORIZED I3Y 1'HE <br />OWNBR OF THIS PROPERI'Y TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATf CONTRACTORS LAW 15.27 RCW A�1D 296.200 \5'AC. <br />. <br />; 1� <br />;� ,��,.�� �. <br />Signatwe <br />; <br />� �, <br />�-; 3-,;� (' - <br />Fu; "--- ) _ <br />Dale <br />alecnrr C3B�o,•. <br />