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APPLICATL N FOR ELECTRICAL i 113M1T <br />CITY OF ` <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />�ra11v Name6 3aUn ���11alaAre `�Lo[> So�t41b 98 Ig3 0 <br />Owner a:Address LI tv 77 s _. <br />enant Mail Ailaress .ty Lip Phune <br />ca <br />cense "— <br />Contract Price o Worms Proposed Use o Building <br />:scr:ption of Work o a one: <br />A Ywn N 0f Pa W2c �n�o <br />NOTE: WAC 296-46-140 REQUIRES THAT PLAN! 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 />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF U0,VS 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 1 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 RC W AND 296.200 WAG. <br />Signature Date <br />FEE410rjg-o <br />