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��" 3 APPLlCATI�N FOR ELECTRICAL II�RMIT <br />cin oF <br />evere#� <br />BUILDING DEPARTMENT <br />259-8d10 <br />ress <br />enant Mai tltlress ity ip hone <br />STFP/�Js�'cEo•rrtc_ S�??YUA+�c'aT�D•�%E %Al'D�A`�L/�/��`�,- �'38•/d9G S?F�}J'c�jGd�3 <br />E e%tr�ca antra� ctor Mai Atldress ity ip� hon—P e -License C <br />� Y 3Qo . oo �iP�x - /1E-s�,rr.4t <br />ontract n ce o'Nork ropose se o ui ding <br />re55 <br />Uiscriptior of Work o e �one: � — <br />�y <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH G1RE FACILITIES <br />9E APPROVED 8Y iHE STATF. OF WASHINCTON. APPLICANTS WiTfl SUCH J085 MUST SHOW THE STATE APPROVED PLANS BEFURE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NQTE: WIRING IN NON-DWELlINCS IS REUUIRED TO 0E IN METAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TF.UE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLEfEQ WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATf_ OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OF; LOCAL LAW REGU:ATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOHIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPIY WITH THE STATE <br />CONTRACTOHS LAW 7827 RCW AND 296.200 WAC. <br />;� / � —L � <br />Signature � Date <br />FEE ��C/ � <br />3���J�.. <br />