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n <br />1_I <br />n <br />1_I <br />Ll <br />APPLICATION FOR ELECTRrAL PERMIT <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />T11% 5CCh <br />?..,2vn 2355 <br />C10C)5�- <br />enant ai dress ,ty ip one <br />i-71- 1 <br />Electrical ontractor ai resscity Zip Phone License <br />ontract Price OT work7-7// Proposed Use of building <br />scr pt ono or o e one: <br />/Ci A 1 N5 T 711-L- � HoaK (-C%O -rr-_W, P pc7u)y_ PO L-L <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDL:ATIONAL, INSTITUTIONAL OR HEALTH CARE FACILIT <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFOF <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO RE IN METAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAQE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 2 RCW AND 296.200 WAC. <br />X Iw�,"Y �l�w � (kq/q Z <br />Signature Date <br />C <br />FEE G :� <br />