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APPLICATION FOR ELECTRICAL PERMIT <br />f' 31 61 U R <br />CITY OF EVERETT <br />0; <br />BUILDING DIVISION <br />x [+ h1 <br />ts1 [yC <br />67T3200 <br />CEDAR STREET <br />EVERETT, WA 98201 <br />C) x1 H <br />259-8810 <br />>Hxtn <br />tH <br />M <br />James 6 Jeanne Cuthill 4916 Rucker Avenue Everett WA <br />98203 252-9619 <br />x <br />Z <br />ner Mail Address <br />City <br />tate <br />ip Monte e <br />� H � <br />N ~Tenant <br />Z <br />HpO <br />Mail Address <br />City <br />- State/Zip <br />hone <br />H C <br />Brinks Home Security 623 Strander Blvd <br />Tukwila, 14A <br />98188 <br />575-0497 BRINK HS 148LE <br />H <br />HagElectrical <br />Contractor Mail Address City <br />tale tp <br />Phone <br />tat�i— ecensgo <br />$364.00 <br />Residence <br />y y <br />Contract Price o ork <br />roposed Use of <br />Building <br />z <br />W H <br />4916 Rucker Avenue, Everett, WA 98203 <br />8 <br />p t�y+ CA <br />Project Address <br />Cif <br />[ <br />Intrusion alarm <br />rA <br />Discription of Work To Be Done: <br />O to <br />CZ <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 />C'TV OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br />U"Ml <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO .,E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />1 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 />Lo 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 296.2.00 WAC. <br />x <br />Lam za n?mm,.z _ <br />Signature Date <br />FEE $30.00 <br />3a <br />