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APPLICATIuN FOR ELECTRICAL 1 �-RMI T <br />CITY OF 4W7.7 <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />KeY 1�,��� +P��.�i��s Ills- 2,tA�c Srrk-z1oJ Se,#I lI W, 981fl_l <br />ner roll n dress CI ty lip Phone <br />Y.scti L- " Si+rtic, %7— vzz'7 <br />enant r.1. Ci ty 41p Phone <br />C <br />PRO] <br />� 6 8so�= <br />ontraci A 7rr ee 'Nor .LL roDow .... e. n ng <br />I205 SE: E-y<�I1 Pk If Lj%! O'k F"� G+i wax <br />Project AddreSs <br />13 <br />scripc:on of 'Work To e ane: <br />'�.�1a1( l`y�'Is v�ece��tics sW<�C,�s `�o..• � Al.:,-� s-(�...P:�o <br />r�.AIOyeL�GkT <br />l <br />7 <br />NOTE: WAG 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN METAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE 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 STATE OR LOCAL LAW REGULATING 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 />CONTR7AC�T� LAW 18.27 ROW AND 296,200 WAC. <br />X 1fDin Af n o A 'J-aS- 53 <br />I- signature U I Data <br />FEE /� <br />#1 Ll 3/:�' <br />