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� <br />� <br />� <br />�SAFic o,) <br />ricz <br />,��7a ao <br />ontract . n ce o or <br />APPLICAi �ON FOR ELECTRICAL PERMIT <br />CITY OF EYFj2El7 <br />BUILDINC UIVISION <br />3200 CmAR STREET <br />EVFRETT, YA 98201 <br />Lba.v �oi�ya � <br />cense <br />//u3 u.QAn��'�i JAts �/C.c ir, j <br />roposed Use o ui ding � <br />d7ai .de v, A✓t. � fv�tTr <br />ro�ect ddress .--- <br />DiscripYion of Work Ta Be Done: <br />i� .ST/�,c c 'i° ' X � � .3 �f i « u n�.i.U_r? i � 4� A.0 < a /G .�J <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTR�CAL WORK AT EDUCATICNPL, INSTITUTIOMAL OR HEALTH CARE FACILITIES <br />8E APPROVEO BY THE STATE OF WASHINCTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVEO PLANS BEFORE A <br />,CITY OF EVERETT PERMIT WILL BE ISSUED, . <br />NOTE: WIRING IN NON-DWELLINCS IS REQUIRED f0 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 />PROVISIONS OF LAWS AND ORDINANCES GOVERNING hIIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHEMER SPECIFIED HEREIN OR <br />NOT. THE GRANT{NG OF A PEflMiT DOES NOT PRESUME TO GIVE <br />AUTHOFi1TY TO VIqLATE OR CANCEL THE PROVISIONS UF ANY <br />OTHER STATE OFi LOCAL LAW REGULATING CONSTflUCTION OR 7HE <br />PERFORMANCE OF CONSTAUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOF YlHICH <br />APPUCATION IS MADE AND I COMFLY WITH THE STATE <br />CONTRACTORS LAW iB.27 RCW AND 296.200 WAC. <br />X <br />Signature Da e � <br />FEE <br />���cQ%%� <br />