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APPLICATION FOR ELECTRICAL PERMIT <br /> ,l!a7o '� <br /> CITY OF EVERETT <br /> 04L BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> S\T�.«� 1 vJtil 2519 S7 " 3- F3'L�) ry"� A Cc7r� JX-X3 <br /> miner a 1 Address ty tate p Phone <br /> enant mail Addre35 City State/Zip Phone <br /> %" jVA(64 Y;pj%1�c oPK <br /> ca ontractor a ress ty tate p one tete LTcnnse o, <br /> ontract Price of Work <br /> ,I o Proposed Use of Building <br /> ascription of Work To Be Done: (e �,In 0 0 _eg ld,11(jw <br /> NOTE: MAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL' INSTITUTIONAL OR I4EALTH 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 /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 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 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 CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE �S r <br /> APPLICATION IS, MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 PCW AND 296.200 WAC. <br /> SP9nature Date <br />