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APPLICATION FOR ELECTRICAL PERMIT <br /> cirr oF �Err <br /> BUILDING DIVISION <br /> 3200 CmAR STRE� <br /> . EVEHETT, YA 98201 <br /> 2ss-asro <br /> ��1 ST�R't..l l lloo ��. `6T"�5T �$on .BELL � WFt- �� <br /> owner Mai ddress it�3tate ip 'hone <br /> �SA� A�-+c'o::��. s=�c�►- EVE�.r�a,�►� ut� E�� �r- wN <br /> enant nai'l�daress City tate Iip hon�F'�- <br /> �2�Rc� FLECT �c1�- '�R Sn�q�b��c����� s� wu 9sstas' k►►2 fr I�I� <br /> c ectrical lontractor Mail ddress ity �tate ip hone tate icense o. <br /> aob-�toa-�,;oo <br /> R�i'�:\� <br /> ontract Price o Work �roposed s^ o �uilding <br /> �e�`df��dQfg-� GJS� <br /> Discription of Work To Be Done: }C,���� �j/j�1yy�, <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED 8Y 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 NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> t HEFEBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CONRECT.ALL . <br /> PHOVISIONS OF LAWS AND ORDINANCES GOVEflNING THIS TYPE OF <br /> WORK WILL BE COMPLETE� WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GflANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHOfiITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OF IOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOFMANCE OF CONSTRL�CTION.THAT I AM AUTHOqIZED BY THE <br /> OWNEfl OF THIS PROPEFiTY TO PERFOFM THE WORK FOR WHICH FEE � <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WqC. <br /> � <br /> 'gnatur DaSe <br /> .�oav3-co ( <br />