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1L/3531� ya6 <br />APPLICAI •JN FOR ELECTRICAL 'ERMIT <br />.:TY CF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />1.15 Ott N 1j, <br />5&— e <br />.enan[ Mail Address City Lip Phone <br />VA <br />ea <br />ac� r o Work <br />P46,se:cifBui <br />Building <br />�3�03 h. C4z�.,. �e.� d/e�. go-a3. <br />Pro ect <br />2 c'o� /1.S <br />cc- <br />),I/ /tea <br />//��E((ress JJ <br />��tT i,G! /Cl�ri ria A"� " TU ir.f�i.Y,'Vrr <br />qq n <br />/ / <br />N� a %r6 i.e fri/+r w✓. <br />S scrik:.n o Mork o • one: <br />a /s �..i i,'���, <br />fs <br />f4� <br />Tr .t el <br />oek. .5�.. �� <br />&L <br />NOTE: WAC 296-46-140 REQUIRES 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 SHCW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS 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 />P90VISIONS 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 L %W REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM T4E WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND 296.200 WAN,. <br />X ,'�l�.�i�.%/�l/ U Cis✓ � , %�7r// - y� <br />'Signature Date <br />FEE _ 11;26 . 19 <br />