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x <br />, 1� <br />;-, �, <br />APPLICATION FOR ELECTRICAL PERMIT <br />CiTV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />So,�•c-ST.�O �//o <br />,ri. C� uGVLG i�`% <br />� n- v ----z, p ' <br />-a'36 / <br />�f — <br />enant <br />d ress �ty ip honr � <br />,�l/O/�fF`f-oM�r.J�-�•9S 3/ �/�r�'kSrv.�/�.lu i,pLoE _ 33�l��_____ aa� ��u��A-o£2a/TJr <br />ng <br />Prbject ndaress <br />iscriptio� o Work o e one: <br />�-TH ��4.✓ — li �%�- GC � �/ u� /t' !D — � •`��G PGv G- �•ra�/EN <br />�►r�-r (�c,v G-- <br />NOTE: WAC 296-46-140 REl`UIRES THFT PLANS FOR ELECTRICAL WORK AT EOUCATIONAL� INSTITUTIONAL OR NEALTH CARE FACILITIES <br />EF APPROVED BY TF:E STATE OF WASHINGTOh. APPLICANTS MITH SUCH J005 MUST SHOW iHE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO �E IN 11�TA1 RACEWM1YS. <br />I HEREBY CE(iTIFY THAT I HAVE REAO AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br />WORK WILI BE COMPLETED WITH WHETHER 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 />OTHER STATE OR LOCAL lAW FEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />y/ / � <br />J"��� �� / 2 � 2 <br />� <br />Signature � Date <br />�� <br />FEE _ �� � <br />_ <br />