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APPLICATI�-:�J FOR ELECTRICAL ; �.RMIT <br />;irr cF <br />ev�re#fi <br />BUILDING DEPAR: b1ENT <br />�59-8810 <br />� <br />.r✓; _., <br />Professional Realty 4210 198th Avenue S.ld., Lynmaood, 1JA 98036 774-8615 <br />nner Mat Address Cy �p Phone �� <br />3212 16th Street Apt C, Everett, WA _ <br />enant ai d rass ity � ip hone • <br />Dick 1loward & Sons Electric, Inc. P.O. Box 99, I.ynnwood, lJA 775-1918 019446 <br />c ectrica l.onCractor at ddress ty p hone �cense Y <br />iscnptian of IYork o e Done: <br />�IL01Gco�� Ia.SA {i�r�o� <br />NOTE: NAC 29G-46-140 REOl11RE5 THAT PLANS FOR ELECTRICAL WORK AT EDUCATIOI'IAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SfiOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />tIOTE: WIRINC IN NON-DWELLINCS IS REOUIRED TO BE IN METAL RACEWAYS. <br />I HEPEBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE 1'RUE AND COFiRECT. ALL <br />PflOVISIONS QF I..�WS AND ORDINANCES GOVEflNING THIS TYPE OF <br />WORK WILL 06 COkP:EZED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br />AUTHOflITY TO VIOLATE Ofl CANCEI. THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THI ; PFOPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION f5 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW iB.27 RCW AND 296.200 WAC. <br />_� '� ,_ , <br />x, ;� , <br />; `,-�' / ; � -� ._ <br />� - � �. , .�- � �� i.� �= I <br />Signature • � Date <br />FEE 7 � � QJ' <br />