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,� <br />� <br />APPLICAT�vN FOR ELECTRI�AL PERMIT <br />259-$810 �,.� f_�w;�/,�% i�� — <br />,. . �� Q�'Ce�� �,{/ , ,� , -, � , . <br />cirr oF evExErr <br />BUILDINC DIVISION <br />3200 CmAR STREtT <br />EVEREff� MA 98201 <br />�enant ai ddress ity tate ip hone <br />��;(�7.1 9i'�1��-`�S`It4 k�c'rc� �c'(�l o,�� <br />��p one tate C( nse o. <br />ontract n ce o ork , roposed se o u ng <br />�i �Oi� t . [Y v�. <br />ro�ect adross �� � . <br />iscription of Work To Be Done: �iP,» ��;n� �-� ��,=r . <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JO85 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIi WILL BE ISSUEU. ��. <br />NOTE� WIRINC IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />APPl1CA710P: AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIO!�S OF IAWS AND ORDINANCES GOVERNING 7HI5 TYF'E OF <br />WORK W�LL BE COMPLETED WRH WHE7HER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br />OTHEA STATE OR LOCAL LAW REGULATING CONSTRUCTION OR iHE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS. NADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW iB.27 RCW AN� 296.200 WAC. <br />X <br />'F;ntc,�� �u-ite�. 9-/d-�/5 <br />Signaturn �ate <br />FEE �5 — <br />