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� APPLICAI�ION FOR ELECTRICAL PERMIT <br /> � cin oF EVExerr <br /> BUILDING DIVISION <br /> 3200 CEUAR STREET <br /> EVFRETT, IIA 98201 <br /> 259-8810 <br /> %�0�2. /�/!i% <br /> ner r � a ress tCl y�tate p one <br /> 4�'P /N� <br /> enant a ress ty tate p one <br /> flNiti�'�'S /"-l�c7r,'� �i� z v �3 w S�n. rya yf/9 9 .�9a¢nBo f�ir,t�/li�/tGG�'�� <br /> eeEl trfcaTContr r a jess ty S[ate p one tate censC{e Ao: <br /> / � <br /> �S c: J G 6/� <br /> ntr t r ce o o'r ropose se o u ng <br /> �/O � �'Cc � � I <br /> ro ect ress <br /> DiscripNon of Work To Be Done: /pS%.�// Wi /'i�/J d� �jY�-z ,(� ;/�' ��qy ��'�d (�q�, <br /> �,. ..—. �� �� / . iw ., / <br /> a <br /> NOTE: WAC 296-46-140 REOUIRES THAT PUNS FOR ELECiRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINCS IS REOUIRED TO BE IN CONDUIT. � <br /> I HEREBY CEFTIFY THAT I HAVE READ pND� E%AMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORflECT.ALL <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK W�LL 8E COMPLETED WITH WHET}iER SPECIFIED HEREIN OR <br /> NOT. THE GflANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOfiITY TO VIOLATE Ofi CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTpUCTiON Ofl THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE /�, t� <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE CY /� S L <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LA�7�iQt�AND 296.200 WAC. <br /> I <br /> �,, / <br /> X__ .> ��< —,��. �r., "a /_ 7—�' t <br /> Signature� � Date 3��-o / <br />