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APPLICATIO", FOR ELECTRICAL PFRMIT <br /> CIiV OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ��as Mw� Bo c s3 c�r�}- �8206 ?1;L—Z'7z� <br /> ner Mai ddress t� p hone <br /> enant ai d ress ity ip hone <br /> SEZF <br /> ETecCn ca ontra tor ai ress it�ip hone icerse # <br /> uKd��St� Du el¢u <br /> o�nt�act r�ee u wor ropose se o uiTing <br /> /t I S k�o,�� <br /> �,«z�e� <br /> 4roo ` ' clrcu G f 6�roow( k1�eP�� <br /> isoription o Work o e o : � <br /> oss;b(� aif �c.akcakf o • s ' 6� I K c� <br /> m�d-���s � rQloc�� l�� � m�a,ktde wa� l� or <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EOUCATIONAL� INSTITUTIONAL OR HEALiH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> N6TE: WIRING IN NON-DWELLINGS IS REpUIRED TO BE IN METAL RACEWAYS. <br /> I HERE�lY CERTIFY THAT I HAVE FiEAO AND EXAMINED THIS <br /> APPLICA(ION AND KNOW THE SAME TO BE TRUE AND COfiHECT.ALL <br /> PROVISIONS OF LAWS AN�ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> FUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTH:R STATE OR LOCAL L4W REGULATING CONSTRUCTION OR THE Q <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHOflIZED OY THE ��G <br /> OWNER OP THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACT S LAW 1827 ACW AND 296.200 WAC. <br /> ���'���._ ������ . <br /> Signatur� Date <br /> �� � JL <br />