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APPLI�ATI�N FOR ELECIi RICAL f- �RMIT <br />:ITY CF <br />evere#�t <br />BUIIQING DEPARTn�ENT <br />259•8810 <br />r.ss <br />� <br />� <br />� <br />/J/� e1r�c7r1• c. .t.✓ c �/ 7 S�� r L ! A� o�,-.a wd 5�)� - Yibt .(/�+rc rrLt �r i e 7 D z <br />cTeeer ca �ontractor ai d reT'iTd ss — C ti y--�—phone —Cteense "'— <br />lNo1 So� (i"V�.teYr ys+al� u�P7 � 3y � <br />Pra�ect Atldress � <br />iscnpt on o work o e one: <br />w �.2w SF�*o eac., s- <br />Nr..� C�r„-T..� C"t, i i � <br />.� <br />NOTE: XAC 296-46-140 REpUIRES THAT PLANS FOR ELECTRICAL WORK AT EUUCATIONAL, INSTITUTIONAL OR HEALTH CqRE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINCTON. APPLICANTS XITH SUCH J085 NUST SNOM THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />IIOTE: MIRING IN NON-DWELlINGS IS REOUIRED 70 BE IN METAL RACEWAYS. <br />I HEflEBY CEHTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PflOVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLEfED WITH WHETHER SPECIFIED MEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOflITY TO VIOLATE Ofl CANCEL THE PFiOVISIONS :�F ANY <br />OTHER STATE OR LOCAL UW REGUUITING CONSTRUCTION O�'. THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHpRIZED BY THE <br />OWNEfl OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICAT�ON IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WP,C. <br />X � <br />�—�.�, �� Y'2 F-�S'�' • , <br />0 <br />Signature � Date <br />/�o <br />FEE _ /a. ` <br />� �s—a> <br />