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APPLICAi .JN FOR ELECTRICAL ,-IERMIT <br />CITY OF AR STREET, <br />BUILDING DIVISION <br />3200 CEDAR STREET, <br />EVERETT, WA 98201 <br />259-8810 <br />!l?/,7 (llSTi� OC. f ✓(-,%c i /1 <br />caner ai Address �ittate Z ip how' ne <br />enant Mail Address City State/Zip Phone <br />i i FI F��T; C_ i 9 c5 iS �ti t• "L' ll �r�/nt4[iF /(i/� �/�±7% b'S tr/ j TA .q in7 <br />cieccricai-contractor ai ddress ity tate Zip hone sate Ci cense7o. <br />Contract Price of WorkProposed Use of Luilding <br />Pro ec ddress <br />Discription of Work To Be Done: _C�111A_.1C.1_ IileZ tV2. <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 SHOW 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 CONDUIT. <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 296.2DO WAC. <br />Signature Date <br />FEE LAJ <br />