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APPLICATION FOR ELECTRICAL PERMIT <br />Iri OF <br />evere'#t <br />BUILDIMG DEPARTMENT <br />�59-8810 <br />mor''sc_ caooP <br />Owner <br />N/A <br />CdA/!T <br />Mai ddress <br />,00 - SS)d <br />tY <br />'P Phone <br />�P-273/-FX4z) <br />- 7FZU3 <br />10M: , CIA klA/1 <br />Te�nantTt; <br />Eie' ? LCo aet� cl <br />Mail tld relit ss <br />al ( Cd0ess tJ <br />r7/,lt/Y� <br />C !'V IY J <br />LICY <br />P Phone <br />��fzf� (Illy 2� <br />�P hone <br />71U7 <br />License <br />Q^ ((a� <br />Contract write' a of work <br />NOTE: WAC 296-46.1b0 REQUIRES THAT PLAITS FOR ELECTRICAL WORK AT EDUCATIONAL, INST'TUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PUNS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BF. III METAL RACEWAYS. <br />I H&.��J �'f�f3 <br />CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT: ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR L AL LA)V REGULATIP'G CONSTRUCTION OR THE <br />PERFORMANCE O'fCPNSTUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THI PF�61`EjMTY TO PERFORM THE WORK FOR WHICH <br />APPUCATI IS MA E AND I COMPLY WITH THE STATE <br />CONTRAgr65 LAW 187, RCW ANp 296.200 WAG, / / <br />r <br />1 Li <br />FEE - �3 7 CJ` <br />_S .�'//F'P <br />