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Hc�H <br />H <br />C H <br />L ' <br />1 <br />Ll <br />1 f <br />APPLICAI iON FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />4ZErr BUILDING DIVISION <br />3200 CEDAR <br />AR STRTREET <br />EVERETT, WA 98201 <br />259-8810 <br />�011f+Gi /CCGil�dshr� Zfi31 W. MA,-7NE- 111b7w-4?11'5- EYalgrr wA 9P01 9n-Y <br />547-lE- <br />enant mail Address City btate/Lip Fhone <br />5 �L L.!`- <br />Electrical ontractor Mail Address City State/Zip Phone State License No. <br />ontract Price of Work Proposed Use of Building <br />ProOect Address <br />Discription of Work To Be Done: A-- /*(Nli'Cfo�(/2 e /e5!i.— 7'—T0 (!�b /1_ <br />i <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />.CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN VON -DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br />I HEREBY 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 LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAG. <br />Signature Date <br />FEE -7 b2� <br />