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APPLICA? eN FOR ELECTRICAL`:`ERMIT <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />�r.(. (S SI:V f1'h% % `7 01 1�" /lG�•-. <br />er a dtlress <br />P Phone <br />Tenant /• ai ad' ess/J �tY ip one <br />_ <br />✓wA.ri ,./ L ��G)� /'/N.i�.S�" <br />c9— <br />ro eet dress <br />scr pt on of Work o e one: �. <br />FUd /� 2 J`1'✓ ✓�C �� <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 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 />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE NOT THE GRANTING OF AD PERMIT DOES WITH WHETHER SPECIFIED IV <br />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 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature Date <br />FEE-? <br />