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� � <br />A�'PLICQ� �JN FOR ELECTRICAL r'ERMIT <br />259-8810 <br />cirr oF EVExErr <br />BUILDING DIVISION <br />3200 CmM STREET <br />EVERE7T, MR 98201 <br />enant a d ress ity Ca•:e ip -�Fone <br />�4acr,,e F1.�rr�' /3Y?l� SS�i�Acc d��r�,L�%.�G� 9�47'/ eilo-49y3 'TRO�oCxOPPJ�+ - <br />ectr%el ontractor ail�Cddres�—ZSty �tate ip one tate icense fT— <br />ontract r ce o or ropose se o ui ing <br />�� Discription of Work To & Done: <br />;. <br />� <br />a <br />s <br />i <br />NOTE: WAC 296-46-140 REpUIRES THAT pUNS fOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />8E APPROVED BY.THE STATE OF WASHINGTON. APPLICANTS MITH SUCH JOBS MUST SNOW THE STATE APPROVED PUNS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. ,, <br />NOTE: WIRING iN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />t HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />�ppUCp,TION AND KNOW TFIE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOqK W�LL BE COMPLETED WITH WHETHER SPECIFlED HEREIN OR <br />NOT. THE GRANTINQ OF a PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOHITY TO VIOUTE OR CANCEL THE PHOVISIONS OF ANY <br />OTHER STATE OR LOCAL LFW REGULATING CONSTRUCTION OH THE <br />PERFOfiMANCE OF CONSTRUCTION. TFIAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLY W�TH THE STATE <br />CONTRACTORS IAW 7827 RCW AND 296.200 WAC. <br />X �� i ����i.� � �s-s3 <br />Siqnature Date <br />f�E <br />, <br />0 <br />