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APPLICATION FOR ELECTRICAL PERMIT <br />� <br />� <br />�r �zs�aa � � P � ; � <br />� v da �E��,�:�� <br />wner Mail An� <br />�J'3 �JC� 5 F� r'si� 1�b.�1 S� b �� C� <br />P <br />�9�ia� <br />��n oF ��� <br />oui�niNc oivisioN <br />3200 CmAR STREET <br />EVEREfT� MA 98201 <br />F�ecQ�axl JJa,� qgc2�3 <br />�,.� ,..�-�`,�: �SiS <br />7/ �7i�%�� l�c.t s S� c�'t-��c,.,. <br />ontract n ce of Work Proposed Use o Building <br />'�4'�7�� `ve�rrr. l�U� <br />-o�ect Address —�� <br />' � / <br />iscription of Work To Be Done: __L/,�r%.� .Si-rvP<' l��' �`r�����f ��'/1/.:*�-�(_ <br />e <br />cense <br />'lOTE: WAC 296-45-140 REpUIRES THAT PLANS FOR ELECTRICAL WOftK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />8e APPROVED BY THE STATE OF WASHINGTON. APFLICANTS WITH SUCH J065 MU�T SHOW THE 5'.ATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. ,., <br />NOTE: WIRINC IN NON-DWELLINC: IS REpUIRED TO BE IN CONDUIT. <br />I HERE6Y CERTIFY' THAT ! HAVE READ AND' EXAMINEU THIS <br />APPLICATION PND KN�W THE �AME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF f1,W:.i AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK W�LL BE COMPLETED WITH WNETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING C� A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OF LOCAL LAW REGULATING CONS7RUCTION OR THE <br />PEFFOqMANCE OF CONSTRUCTION. THA71 AM AUTH�RIZED BY TNE <br />OWNEA OF TH1S PROPERTY TO PFRFORM THE WOPK FOR Y/HICH <br />APPLICATION I;i MADE AND I COMPLY �ti'ITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />:�:i��i%h i!� �J ,�—� � � <br />Signatur�� Datc <br />e <br />� � O� <br />FEE <br />