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APPLICAI ��N FOR ELECTRICAL r�ERMIT <br />� <br />� <br />� <br />ciTr oF �Err <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVQtETT, MA 98201 <br />enant a� d ress ity tate ip one <br />�G <br />ectr ca ontractor ai ress ity �tate ip one tate cense o. <br />�FR� <br />o�tract r ce o or roposed se o ui d ng <br />� <br />Discription of Work To Be Done: (a(X�1 ��� C��i <br />�..Gh-C�.i� ��'EGc�r� . <br />NO'.E: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE S?ATE APPROVED PLANS BEFORE A <br />,CITY OF EVERETT PERMIT WILL BE ISSUED. , � <br />NOTE: NI41NG IN NON-DWELLINCS IS REOUIRED TO BE IN CONDUIT. <br />� HEREBY CERTIFY THAT I HAVE READ ANO' EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF I,AWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOHK WILL BE COMPLETED WITH WHE�}IER SPECIFlED HEREIN OR <br />NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION Ofl THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOFIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICAT�ON IS MADE ANO I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X �—! %0�2.) �g L <br />Signature Date <br />D� <br />FEE i� .S J <br />� 3�,��,v <br />�- <br />• <br />