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APPLICAI 10N FOR ELECTRICAL PERMIT <br /> � � I cin oF �xerr <br /> BU�LDINC DIYISION <br /> 3T00 CEDAR STREET <br /> ' E�ER�Tf, �A 98201 <br /> 259-8810 <br /> S�,oit os [s(a Z};o o,wr.a �4+�c t'wc.c� r 98tr� � <br /> ner a d ress <br /> �Y ta[e p � one <br /> enant G.tN ��3o O41G1 I�,C ��C�r� QB1.0� 339 /�� <br /> ai ress ity--$tate P one <br /> //R✓4tN� �K�1�iL <br /> ElectrTcal Contractor ai ress � ty tate p one tate cense o. <br /> ��S NqllON.K �i JANIJ <br /> Contract r ce o or ropose se o ui ng ��� <br /> �a 3o p,r.ae� �-�t � 2✓t•ce�� <br /> Project d ress <br /> Diseription of Work To Be Done: /�,�/1�f{ %�=/J�G.s/z/,J CO�/�/CrL �Odjy�(� <br /> �/J CQUA/�drL� l�,�ra L/�L� / /l�A� ��'�, � <br /> l /�i D///PA� �*-vr�e� <br /> i <br /> NOTE: WAC 296-q6-140 REOUIRES THAT PUNS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CqRE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLIGNTS WITH SUCH JO85 MUST SHON THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE �SSUED. <br /> NOTE: WIRINC IN NON-DMEL�INGS IS REOUIRED TO BE IN CONDUIT. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND� EXAMINED THIS <br /> MPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROV�SIONS OF UWS AND OROINANCES GOVERNING hilS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHE7HER SPECIFlE�HEREIN OR � <br /> N07. THE GFANTING OF A PERMIT DOES NOT PRESUME TO Ca1VE <br /> AUTHOFITY TO VIOLATE OFi CANCE THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUI,NG CONSTRUCTION OR THE <br /> PERFOFMANCE OF CONSTRUCTION.THAT I AM AUhiOHIZED BY THE �� � <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH �E <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE � <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> X <br /> �' Z ' <br /> S r Date <br /> � <br /> 3�� � <br />