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H <br />C] C7 W <br />HOEn <br />04L <br />259-8810 <br />APPLICATION FOR ELECTRICAL PERMIT <br />ress <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Tenant Mail Add.'ass ,Ly r ."-"- <br />C_arj'f E/ �. 73i �sa'�� <br />Ic-trical Contractor mail Adaress City tyozi one <br />Contrict Price o Work roposed Use o u. ing <br />7(, a-S-- <br />__ <br />Discription of Work To Ee Done: <br />-I M )deet) //07n <br />w �r <br />! <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />•� <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />i a <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />GOVERNING THIS TYPE OF <br />PROVISIONS OF LAWS AND ORDINANCES <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />g+a es <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />LAW REGULATING CONSTRUCTION OR THE <br />OTHER STATE OR LOCAL <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br />'NNW <br />APPLI TION IS MADE AND I COMPLY WITH THE STATE <br />CON AC ORS LAW 18.27 P'W AND 6.200 WAC. <br />Oate <br />Signature <br />