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i �� <br />APPI-LATION FOR ELECTRILAL PERMIT <br />CITY OF <br />everett <br />BUILDING DEPARTMENT i <br />259-6810 <br />ner <br />a ress ty p hone <br />04 <br />-Fai ress �tY 'P <br />Phone <br />enant <br />�♦,• <br />�,,� Z3tZ'-I' <br />Jt�N � �� <br />>��_� =_:gam u.. <br />one <br />ectr ca ontractor <br />ai ress ,ty <br />11 11 <br />1•� <br />w MI-4�.�=.iG.lc <br />ouing <br />ropose <br />se <br />.ontract rice o or <br />f= - (Ni—1 Siv Ic� <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL. OR HEALTH CARE FACT LIT <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFOR <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 />SPECIFIEDWORK WILL BE COMPLETED WITH WHETHER <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 TOAPPLICATIONISIS PROPERTY <br />MADE ANDPII COMPLY WITH FORTHEERFORM KTHE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAG. <br />x jazA <br />� <br />Signature Date <br />FEE 112 <br />