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� <br />,--, <br />APPLICATIQN FOR ELECTRICAL PERMIT <br />� <br />�� <br />ci7v oF Evm�t�-r <br />Bl11LDING DIVISION <br />3200 CmAR ST�2EE7 <br />259-fi81 ��T> MA 38201 <br />K J CO /n�G �U-°'u� <br />S�aN� sN�h 333 s ��i T��� � w�-- 9��� <br />ner Mail ddress <br />�ty tate ip hone <br />enant Mai ddress <br />�tY tate ip one <br />O U/'�'tnti , <br />ectrica ontractor ai dress ity tate ip one tite icense o. <br />ontract n ce o or roposed se a-6ui ding <br />ro�ect d ress <br />Discription of Work To 9e Done: �Ss�d (� �"re- �, <br />NOTE: WAC 296-46-140 REQUIRES THAY PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITI�S <br />BE APPROVED BY THE STATE OF WASHINCTON. APP,LICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />,_ CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRINC IN NON-DWELLINCS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBY CF.RTIFY THAT I HAVE READ AND' EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PflOVISIONS OF LAWS AHD ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 8E COMPLE(ED WITH WHE7HER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOFITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION Ofl THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOqIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOq WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS U1W 1827 RCW AND 2?6.200 WAC. <br />X� �„ �r. _�-'�^,-. '' �-l� . <br />Signature <br />Oate <br />FEE �3(J J <br />