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� <br />APPLIC,A1,.�tV FOR ELECTRICAL ,�ERMIT <br />yU3 7b� <br />cirr oF �xerr <br />WIIDINC DIVISION <br />3200 CmUt STRE'Ef <br />EVEREff, tlA 90101 <br />�rt i'n�,/'1 39/0 (.3cvcr ,� „ F,.e.-� tt 'bt,o `ld,?o3 <br />ner ' a ress , 7"�— Ci�.y—�tate l�o one <br />Sp t�r e. <br />enant a ress ty tate p ona <br />U L= <br />' /C G� r�G N G C� <br />�tract r ce o or roposed se o u d ng — <br />�'J� 7�� /'7avar�v .�.Gtie! . <br />�ject d ress � <br />Diseription of Work To Be Done: <br />—4L-Chr -�---. -w'+�i �,T'?'. � � q(— � c.. iZ`c l. � <br />NOTE: WAC 296-46-740 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 SHCW THE STATE APPROVED PUNS BEFORE A <br />,CITY OF EVERETT PERMIT WILL BE ISSUED. � <br />NG��Ei YiIRINC IN NON-�WELU NGS IS REpUIRED TO BE IN CONDUIT. <br />I HEREBY CER7IFY THAT I HAVE READ AND' EXAMINED THIS <br />APPIJCATION AND KNOW TF!E SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF V1WS AND OFDINANCES GOVERNING THIS TYPE OF <br />WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED IiEREIN OR <br />NOT. THE GRANTINCa OF A PF.pMIT DOES NOT PflESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI U1W REGUUITING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AF1 AUTHORIZED BY 7HE <br />OWNER OF THIS PP.O?ERTY TO PERFORM THE WOFiK FOR WHICH <br />APPLICATION !S MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFJ LAW 1827 RCW AND 2962001YAC. <br />��� � y��% <br />Signature Date <br />� O� O <br />FEE S�_ <br />