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APPLir �TION FOR ELECTRI�-�1L PERMIT <br />C(iY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />�y�t (j�anK PO P�OX ��C( E�u<H q8'A03 355- 4125 <br />ne ,ai ross � t'i y — ip hone <br />enant ai tl ress ty ip hone � <br />� F. 2 . <br />ectnca ontractor at ress ty p one cense <br />� <br />S� <br />Gc� S-e[�' • . <br />iscnpt on o or o e one: <br />� W�,< v�cw hoti t �� r'o,+�a a�d ,nakll <br />• U '2 0o A Mv wd« q.�a-d se�„� �e — <br />NOTt: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILI� <br />� BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PUNS BEFOF <br />CITY GF EVERE7T PERMIT WILL BE ISSUED. , � <br />NOTE: WIRINC 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 />WQRK WILL BE COMPLEfED WITH WHETHEft SPECIFIED HEREIN OR <br />NOT. THE GP,ANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIO�ATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSiAUCTION OR THE <br />PERFORMANCE OF C�NSTflUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICfl <br />APPLICATION •IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AIiD 296.20D WAC. <br />X I I- 3 - �.3 � <br />Signa e � Date <br />FEE ,j S U� <br />