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APPLICAT1vN FOR ELECTRICAL PERMIT <br /> ll --�g�9 Z <br /> cin oF EVEaen <br /> C '3g7�� 6UILDING DIVISION <br /> � 3200 CmAR STREET <br /> EVERETT, M� 98201 <br /> � .2ss-as�o <br /> I�'%L'��t �. . S / <br /> , <br /> 3` � I � � <br /> � � � <br /> J �� �i`11ti1C'� � ='� �) `�" v�nc�� /�U� :�, L�� �( 1_ �-�-'�� <br /> Owncr ���Mai Ad ress ity tate ip hone <br /> enant ai ddress ity tate ip hone <br /> :��j ,;�1. 1� <br /> ec[n cal �ontractor ai ddress ity tate ip hone tate License o. <br /> ���'���7 � <br /> ontract Price o Work �roposed Use�of uilding <br /> j G�n''(, <br /> �roject �ddress <br /> ( f � 1^� � . � � ` C �� c_ :( .i{(i (% <br /> Discription of Work To Be Done: �\ �� r�Ly✓1)C' ��— <br /> NOiE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDULATIONAL, INSTITUTIOtJAL OR HEALTH CARE FAf.ILITIES <br /> OE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHCW THE STATE APPROVED PLANS EIEFORE A <br /> CITY OF EVERETT PERMIT WILL �E ISSUED. , <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO �E I1! CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE AEAD AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT.ALL <br /> PqOVi510NS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE CGMPLE7ED WITH WHEfHER SPECIFIED HEFEIN Ofl <br /> i NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME i0 GIVE <br /> AUTHOFITY TO VIOLATE Ofi CANCEL THE PROVISIONS CF ANY <br /> OTHEF STATE OR LOCAI LAW REGULATING CONSTflUCTION CFi 7HE - <br /> I PEFFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE ,�`�� - � <br /> OWNER OF THIS PNOPEFTY TO PEFFORM THE WORK FOFi WHICH FEE - - <br /> APPLICATION IS MAOE AND I COM1IPLY WITH THE STATE <br /> CONTRACTOfl511�W 18.27 RCW AND 296200 WAC. <br /> / <br /> i � <br /> X � �-�tnnu�, -`�)�ri`'tL,,�.��. <br /> Signaturc ��� �•�`c <br /> ��� � y. <br />