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APPLICATION FOR ELECTRICAL PERMIT <br />2�9-881U <br />ctrr oF evmErr <br />BUILDING DIVISION <br />3200 CFDM STREET <br />EIIERETT� YA 98201 <br />enant Mai ddress ity tate ip one <br />-T� -i� <br />ectrical ontractor Mai dAress ity tate ip— ho�ne —�tat�icenseTJo. — <br />ontract rice o ork <br />z - . _. � <br />ress <br />Discriptian of Work To Be Done: <br />Proposed Use of uilding <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT E�UCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVEU 8Y THE STATE OF WASHINGTON. APPLICANTS WITIi SUt:H JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. , � <br />NOTE: WIRING Ih NON-DWELLINCS IS REQUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED TH�S <br />APPLICATION ANG KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AiJD OflDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFEIN OR <br />NOT. THE GR�INTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TJ VIOLATE OR CANCEL THE PROVISIUNS OF ANY <br />OTHER STATE Ofi LOCAI LAW REGUL4TING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUfHORIZED BY THE <br />OWNER OF THIS pROPERTY TO PERFORM THE WOFK FOR VYHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS IAW 18.27 RCW AND 296200 WAC. <br />�� <br />gnature <br />Date <br />� <br />FEE > <br />