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� _ <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BtJII.DING D:VISION <br /> 3200 CEDAR STREET <br /> EVEREIT,WA 98201 <br /> -)��3 � S� S� ��S 33y- 753J zss-es�o <br /> �- � a � �� Qac.�c-�c. �v �2�/CY" I �f� �5`� - 33�� <br /> p�yoa Mail Addcess City StaWZip Phone <br /> � L M� <br /> 1� �� ` � <br /> T�� � Mail Address . C�ry State/Z�p Phone <br /> . . 'gU.S�rJ�'S <br /> �uStnlEsS-TE•�P.��4� K�I�'� 1.�A \�'�12 � (cF5"- A�� So lo`{CJ <br /> Eleurical Contr+ccor Mail Addrrss Ciry State/Z�p Phone Sute Iacense No. <br /> �' IS(�O%' <br /> Coatract Price of Work Proposed Use of Building <br /> �`L��e�c i e <br /> Projat Addrcss <br /> Description of Work to Be Done: Tf���Y�l l, I L"l t=�� Cn^' �^3 <br /> NOTE:WAC 296�6-140 REQUIItF:S'fH/�T PI-ANS FOR ELEClRICAL WORR AT LDUCATIONAL, WSTRVITONAL OR <br /> HEAL7'H CARE FACIIITIF-S BE APPROVED BY TE� STATE OF WASHII�IGTON. APPLiCANTS WITfi SUCH IOBS <br /> MUST SAOW TF�STATE APPROVED PLANS BEFORE CI'fY OF EVERET PERMIT VVII-L HE ISSUED. <br /> NOTE:WatWG W NON-DWELLINGS IS RfiQUIRBD TO BE IN MET.4LLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Tf�SAA4E TO Bfi TRUE <br /> AND CORRECC. ALL PROVISiONS OF LAWS AND ORDINANCES GOVERNING 7'EDS TYPE OF WORR WII.L BE <br /> COMPLETED WITH WHEI'f�R SPECIFIED HEREW OR NOT. TAE GRANfING OF A PERMIT DOES NOT PRFSUME <br /> 'CO GiVE AUTHORITY TO VIOLATE OR CANCEL 7'HE PROVISIONS OF ANY OTHER STATE OR LOCAL I.AW <br /> REGULATING CONSTRUC'I70N OR THE PERFORMANCE OF CONSTRUC770N. THAT I AM AUTHORIZED BY TF� <br /> OWNER OF THIS PROPERTY TO PERFORM THfi VVORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTOkS LAW 18.27 RCW AND 29G•200 V✓AC. . <br /> �� <br /> X (� - z a ti 3 F� �z� <br /> vv� <br /> �� Date <br /> �f�a� � <br /> o�ouvr(3a�991 <br />