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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF RT <br /> BUILDING DIVISION <br /> 7700 CEDARAR STREET <br /> [YEAE7T, VA 98701 <br /> 259.8810 <br /> ea 4,tAtool ai%L4#­,w_R <br /> .mer a rets SDI ty11 V ' • a <br /> Dpnone <br /> ,.ant Hall Address City • e p Phone <br /> Wit,E Itte'1t:�. PO 4u� Ila(A \A. a.;UQ L.'rs E►�n�� 41-E93V 4;, wmwpr_ <br /> �ec ccj iontree or M441 Aggrelill y tEe7Lip Phonebtate LTnse No. <br /> �ntT'r e o Dor^ Sr -"Propo a use o u n0 <br /> t,SOJ J Tn Vr VLJ �m <br /> -0 ec raw J(( <br /> Iscript4n of Work To Be Done, �j iry— a nee) residQnco <br /> NOTE, NAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SIKH JOBS NUIT SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. ' <br /> NOTE, WIRING IN NON-DWELLINGS IS REQUIRED 70 BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIUNS 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 CONSTRUCTKW.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHI:H FEE W <br /> APPLICATION 19 MADE AND i COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signature U Date <br /> SII q6 <br />