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Y:�F • <br />F' <br />�-o <br />►_i <br />�-� <br />►_i <br />�:: l:� � :�-� <br />APPLICATION FOR ELECTRICAL PERMIT <br />cin oF �xerr <br />BUIID�NG DIVISION <br />3200 CmAR STREET <br />EVERRT� MA 98201 <br />� 3.39G7PS� <br />,e �p Phone ' <br />ienant ai ddress ity tate ip one <br />���i/'.�� A�.,._...�.iJ�rrTil� VV � !/CD .(i�/ / <br />ontract rice o or roposed Use o ui ding <br />� Discription of Work To Be Doner <br />Pi� / `� ��� <br />NOTE: WAC 296-46-740 REpUIRES TNFT PLANS FOR ELECTRICAL WOkK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACIL�TIES <br />DE APPROVED BY THE 5T�4TE OF WASfiINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVE� PLANS BEFORE A <br />.CITY OF EVERETT PERMIT 'tlILL BE ISSUED. ,� <br />NOTE: WIRING 1N NON-DWELLINGS IS REpUIRED TO 6E IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXP.MIN[D THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFI:CT. ALL <br />PROVISIONS OF LAWS AND ORbINANCES GUVERNING THIS TYF E OF <br />WOf;K IYILL BE COMPIETED WITH WHF.THER SPECIFIED IiEREIN OR <br />NOT. THF GRANTING OF A PFRMIT DOES NOT PRESUME TO GIVE <br />AUTHOFiTY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OF LOCAL LAYI REGULATIN3 CONSTRUCTION CF 7HE <br />PERFORMP.NCE OF CONSTP.UCTION. THAT I AM AUTHOFIZED BY THE <br />OWNER OF THIS PflOPEP:fY TO PEFFOP.M THE WORK FOR WHICH <br />APPLICATION IS MAC�E AND I COMPLY WITH THE STPTE <br />CONTRACTORS LAYJ 1 P.27 RCW AND 296.200 WAC. <br />� �` 93 <br />�ynature Oate <br />�� <br />FEE <br />//_ <br />���� � <br />