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APPLICATION FOR ELECTRICAL PERMIT <br /> cin oF �Err <br /> BUILDINC OIVISION <br /> 3200 CfDM STREET <br /> . EVERETT� YA 98201 <br /> 259=8810 <br /> /JD$..�N�' �.: Y-2Y�� <br /> ne�—° a ress tL4 y�tate Iip— on'—P�— <br /> enant a ross ty tate p one <br /> NA�/�,1' C/�r�r, '� yo 7.o L3 �✓ SeA7}/�e w� 9l�/94 z�-hP'D a,�AA'A'�c /S6Li('!! <br /> ecE�tT�ConCractor e ress ty State p one ta e eense o. <br /> �1��r1'd �'� GdiYl <br /> � ontract r ee o or . �opose se o u ng <br /> �1���. �/0-3 3 - ca/, HlS.S <br /> ro ect resa <br /> Discription of Work To & Done: ��,/�-Lfi�.Gt— y�'L � <br /> NOTE: WAC 296-46-140 REpUIRES THAT PLANS FOR ELECTRIGL WORN AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> B[ APPROVED BY TNE STATE OF WASHINGTON. APPLICANTS MITH SUCH JO85 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> . ,CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRINC IN NON-DWELLINCS IS REpUIRED TO BE IN CONDUIT, <br /> � HEHEBY CERTIFY THAT I HAVE READ AND' E%AMINED THIS <br /> APPLICATION AN�KNOW THE SAME TO BE TRUE AND COHRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TlPE OF <br /> WORK WILL 8E COMPLETED WITH WHE7HER SPECIFlED HEREIN OR <br /> NOT. THE aRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OT}1ER STATE OR LOCAL LAW HEGUUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE / � <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH FEE �p� <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRACTORS UW 1827 RCW AND 296.200 WAC. <br /> � —�r <br /> Signatur Date <br />