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APPLICATION FOR ELECTRICAL F . MIT <br />CITY OF <br />everett <br />BUILDING DEPARTMENT / <br />259.8810 <br />5 <br />ner Mail Address City Ti one <br />SQ ra�L� <br />enant a Address City Zip. one <br />sfa,& / /3 / I/�lt//9g�3"g <br />Electrical <br />ontractor Ma ess city zip Vhone cense-N <br />Contract Price of WorkProposed Use o I Bu I I d ing <br />7 <br />/( <br />Project Address <br />�-- <br />is6 orlon or worly lo tie ne: <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 WASMINGTCN. 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 HETAL RACEWAYS. <br />I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APoLICATION 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 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 I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAG. <br />x &tbg', � <br />Signature Date <br />FEE 5' <br />2) ;7 <br />