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APPLICATION FOR ELECTRICAL PERMIT <br /> C3(„aSz <br /> o��og--9Z <br /> CITv OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ;, ' '' -, -� <br /> /��� � r�,.�/% � �/��;� /C '��y�i% ` l �o//�c-�� La.�cr / c �. / j;j.�U <br /> (lwner y�di dress tty 4 ` �p hone <br /> �J L. � � C i S' � �.. <br /> �.O.:S-� G�%<�� .-. ��.�. ,.� - �'� � hone <br /> Tant ai ddress ity ` �P <br /> C�c i.r �i <br /> ectrica ontractor Mai ddress ity ip hone icense K <br /> ontract rice o or� ropo5ed se o ui tling <br /> "7 y,<�J ��; ��� 5 �- <br /> ro)ect AdEress <br /> .j�7L_,, ��: > � �/� � f� �:n � � <br /> Discription of Work o Be Uone: <br /> IVOTE: WAC 296-46-740 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIOfJAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE Of WASHINGTON. APPLICANTS WITVi SUCH JOBS MUST SHOW THE STFTE APPROVED PLANS BEFORE F <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> .'-"�� tlOTE: WIR�NG �tJ NON-DWELLINGS IS REOUIRED TO BE IN PIETAL RACEWAYS. <br /> � .� / <br /> ��� <br /> : a ''�li�. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXI1MItJED THIS <br /> i APPUCATION AND KNOW 7HE SAME TO BE TRUE AND CORRECT.ALL <br /> PROViSIONS OF LAWS AND ORDINANGES GOVERNING THIS NPE OF <br /> Y�ORK WILL BE COMPLETED WITH WHETHER SPECIfIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESLIME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PiiOVISION$ Of ANY <br /> �i OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORM�NCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE � <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH FEE ��D �-' <br /> APPLICATION IS MADE AND I COMFLY WITH THE STATE <br /> CONTFACTORS LAW 18.27 RCW AND 296200 WAC. <br />` ,. .."'' X %i�- --C' f�"-:��—� %��/'" ..' <br /> 5i�gnature ' Date <br /> .. . . . . . -. �. - - . . . -' rr � <br /> „i <br /> . . - . . . 'r ..�'n � . <br />