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APPLICAI .JN FOR ELECTRICAL ,�ERMIT <br /> -._. __ —.-. --- C17Y OF EVQtEiT <br /> BUILDINC DIVISIOH <br /> - 3200 CmAR SiREET <br /> 2$9-881Q E��. MA 98207 <br /> �__.�Kor�t�� x �267 CJ q�2v� as j�3s� <br /> Unner Mai Address <br /> �tY tate ip hone <br /> ONC- <br /> enant a a ress <br /> �tY tate p hone <br /> G N� ftcc ,� YY3d <br /> ectNcat ontractor na d0 es�n C� �3 $� C.�RANiE�ZY3G � <br /> . r fty tate p hone tate icense o. <br /> d26b0 `� ���„� <br /> ontract nce o wor eom�r �QC /fI(� <br /> Iroposed Use of ui ding <br /> !'ro��ys �Lj/p V � <br /> Discripkion of Work To Be Done: _„nG TE'� S'Fn��LC <br /> N07E: WAC 296-46-140 REOUIRES THAT pLqNS FOR ELECTRICAL WORK AT EDUCATIONqL� INSTITUTIONAL OR HEALTH CARE FRCILITIES <br /> BE APPROVED BY THE STATE OF WASHINGiON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> .CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: W�RINC IN NON-DWELLINCS 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 I� <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WNETHEH SPECIFIED HEREIN Ofi <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GiVE <br /> AUTHORITY TO VIOLATE GR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUITING CONSiiiUCTION OR THE <br /> PEFFOqMANCE OF CONSTAUCTION.THAT I AM AU7HORIZED BY THE (/_ <br /> OWNER OF THIS PAOPERTY TO PERFORM THE WOFK FOR WHICH FEE vZ— • D D <br /> APP�ICATION IS MADE AND 1 C0�1PLY WITH THE STATE <br /> CONTRACTORS L4W 78.27 RCW AND 296.200 WAC. <br /> X G�O 'i <br /> � S-/7•fs� <br /> Signature Date <br /> ���� � � <br />