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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF <br />everett <br />BUILDING DEPART1dENT <br />259.8810 <br />o ova 0.n Y;�! ��R� hha� <br />L_ <br />enant Ra—il Address City Zip Phone <br />Active Electric 'Corporation 3I08 196th Southwest, Lynnwood, WA 98036 ACTIVEC307135 <br />scription of worr, To • cne: _ <br />NOTE: MAC 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 .LOBS 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 E.:AMINED 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 LCCAL 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 />APPLICATICN IS MADE AND I COMPLY WITH THE STATE <br />CONTRA7OI;;S LAW ISZ' RCW AND 296.200 WAG. <br />X J11 k <br />Signature Date <br />FEE <br />s <br />ql�lq /I <br />