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:� <br />� <br />i <br />APPLICAT!�N FOR ELECTRICAL �ERMIT <br />citv oF <br />everett <br />BUILDING DEPARTMEtST <br />259-8810 <br />806 BROKAW P.O. BOX 254 EVERETT <br />ress <br />98206 252-9061 <br />enant ai d ress �ty p hane <br />NW COMM. & ALAR14 P.O. BOX 6277 LYNNWOOD 96036 775-4456 NWCOMAI1100L <br />ectr ca ontractor ai ress [y ip hone cense M <br />ontract riee o or ropose se o u� dt�g <br />3231 ROCKEFELLER AVE. EVERETT <br />ro,7ect d ress <br />scripttan o Work o e one: <br />INSTALL LOW VOLTAGE SECURITY SYSTEM <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVEO BY THE STATE OF MASHINGTON. APPLICANTS WITH SUCH JOBS MUST SNOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT NILL BE ISSUED. <br />NOTE: WIRING IN NON-DMEI_�14G5 IS REOUIRED TO BE IN METAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APFLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS iYPE OF <br />WOFK WILL BE COMPLETED 1VITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING 0�= A PERMIT OOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL U1W FiEGULATING CONSTRUCTION OR THE <br />PEFiFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br />X ���sv����- 9�-�/%.z <br />Signature Date <br />FEE $ 30.00 <br />