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APPLICAT�N FOR ELECTRICAL rERMIT <br /> CITY OF EVEREfT <br /> BUIIDING DIVISION <br /> 3200 CmAR STREET , <br /> � EYFRE7T, YA 98201 <br /> 259-8810 <br /> i <br /> Pu � Rs s�o�rs aA� I(��I3(> I�i7t�_l�� EVEQEtt vJA 3 -31r�341 <br /> w�� at ddress �tty -�� , hon—�— <br /> (jV\ 1-E F ��71 <br /> I°!�S� o ti /�fioiG i�f'��/ N� /�a�c// 1e'b/lr3. <br /> enant Ma� �ddress ity tate �p one <br /> AOT �'C-Cv�IT\/ l ct l(0 302EtJ la�� SEATt\-E Wt� 3C��1-C�OU ADTSES�'I ISBS <br /> ectrica ontractor 1�F1ai ddress ity $tate ip ,one State L cense o <br /> �,84-�0�� ' ��rJ <br /> ot ntract r ce a or roposed se o ui ding <br /> 10� IGTF; ��I� SU�TE �+cn EVFfz�Tr <br /> �ro�ect d ross . <br /> /' --�`� . <br /> Discription of Work To Be Done: Fj �c '� ����%� '�� �}�TF M l Ln11.� ��Ll�"v77�� <br /> � - NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACIL:TIES <br /> � � BE APPROVED BY THE STATE OF WASHINCTON. 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-DWELLINCS IS REpUIRED TO BE IN CONDUIT. � <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> APPLICATION 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 WHEfHEfl SPECIFlED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLA7E OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OFi LOCAL lAW REGULATING CONSTRUCTIOM OR THE <br /> PEfiFOFMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED 8Y THE <br /> OWNER OF THIS PFiOPERTY TO PERFOHM THE WORK FOR WHICH FEE J�r7. Z� <br /> APPLICATIO IS MADE AND I COMPLY W�TH THE STATE <br /> CONTRACT LAW 7827 RCW AND 296.?,�7 WAC. • <br /> � <br /> X �� 2-/L,c�S- <br /> Signature DaCe <br /> yaa-57 <br />