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�. <br />APPLICAT�ON FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />&11LDING DIVISION <br />3200 CmAR STREET <br />EVEREfT, MA 98201 <br />31ack Pine 20129 Highway 99> Lynnwood IdA 98036 ��nh1771-5774 <br />�� Mai ddress `��ty tate ip Phone <br />3 500 Restauran[ adn Pocl Hall <br />ontract n ce o or roposed se o uiTing <br />602 Ever reen Iday, �verett 98203 <br />r�ct ddress <br />o;sc�;Pe;on of work ro ae 000�: Low Voltage IIurglar Alarm and P'ire <br />WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br />8E APVROVED 9Y THE STATE OF WASNINGTON. APPLICANTS WITN SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. � <br />WIRING IN NON-DWELLINCS IS REpUIRFD TO BE IN f,017DUiT. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND' EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PFOVISIONS OF UWS AND ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR T}iE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y 7HE <br />OWNEfl OF THIS PROPERTY TO PERFOfiM TNE WOFK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X ' �1 ^ , <br />%z�c''�nr i�Jrl�,{,',t �/-y�-sa— <br />Signature Date <br />$30.00 <br />