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APPLICATION FOR ELECTRICAL F' dRMIT <br /> CITY OF 4EDIVVERE7T <br /> ILDING ISION <br /> W <br /> 3200 CEDAR STREET <br /> 259-8810 EVERETT. WA 98201 <br /> R er a dress _4�6;"` e /t/9 1�'YIJ d yy—Z.3'L <br /> tY tate p -'done <br /> enant a d rens <br /> tY tate P one <br /> F�uIX.�cutvr CS <br /> r ca onto ccor Ilan A resdd-y tY y`Sta to j f N,. <br /> 2w/� / Phone <br /> tate cense o. <br /> i[JV •� a } <br /> ontract r ce o or <br /> • �v"s�•• peo vi ou:leing <br /> Zstm S7 Sf 5�t7 <br /> ro ect ress �n1 <br /> Discriptlon of Work To Be Done: <br /> NOTE: WAC 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 SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> .CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTZ: WIRING IN HON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AILD KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS GF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLhrEO WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE .iRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFIV Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE `� oma^ <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE 3a <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signat, ^` Date <br />