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APPLICATION FOR ELECTRICAL PERMIT <br /> cirr oF EVQtErr <br /> BIIILDiNC DIYISION <br /> 3200 CmM STREET • <br /> _ EVEftETT� MA 98201 <br /> 259-88Y0 ��'3 r <br /> S�1/� ��l �.� � 3s�a ���a av � i��/ <br /> ner MaiT d ress t�-3taEe p hone <br /> enant a d ress �ty tate ip one <br /> �c.�Ioy1 ��rG f�vC� a,(svL 96�z7o l�3 �t�3 s ��3zz,1 � <br /> _e in ca, ontractor aiT re� ty tate p one ta[e eense o. <br /> .ontract r ce . or ��� <br /> ropose se o ui ng <br /> �'Z1 ��D�� ��L% <br /> �ro�ect ress <br /> �iscription of Work To Be Done: ��/'� �/'�� �(� /��— "� ' <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> 8E APPROVED BY THE STATE OF WASHINCTON. APPLICANTS 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 TU BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT � HAVE READ AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORflECT.ALL . <br /> PqOVISIONS OF WWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOflK WILL BE COMPLEfED 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 STATE OR LOCAL U1W fiEGULATING CONSTRUCTION OR THE <br /> PERFOFiMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE �� <br /> OWNER OF THIS PROPERTY TO PERFOfiM THE WOHK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS lAW 1827 RC AND 296.200 WAC. <br /> X �( � 9 z�-yz <br /> Signature Date ��D(�/� <br />