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1 <br />U <br />U <br />rf <br />U <br />APPLICATIQN FOR ELECTRICAL_ PENAIAT <br />4 vereti <br />UILDING DEPARTMENT <br />::59.8810 <br />L11'1C14 (11 <br />ST <br />GS20) 252- 2-4-1 <br />I <br />tenant Mail Address City I ,p Phone <br />IS. 1 2.0 W ST. Ke'a'T CI <br />C <br />ciectrtcal Contractor 11all Aoore55 Li Cy Zip Phone License = <br />ResltrevlriaL_ <br />Contract Price or Work roposee Use or U; aing <br />21 <br />L01 <br />. ,�r;pti on or Worx io de Dane: <br />L OUJ VO 1 Ay;- C. SE C. kcj <br />(5, r nc:T ZI:. IQcI'2) — 5 — 10 <br />NOTE: 'WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL 'WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE Fi <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: 'WIRING IN NON-DWELLINCS IS REQUIRED TO BE 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 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />x � lLf,-�,', <br />Signatury crate <br />FEE yJ o. on <br />MAR 9 1992 <br />CITY OF EVERETT , <br />Public Works Dept. <br />3 5' <br />