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t . <br />259-8810 <br />.�. <br />� <br />APPLICATIO�V FOR ELECTRICAL PERMIT <br />f1�a"1.ril <br />7 <br />ci�v oF �err <br />BUILDINC DIVISION <br />3200 CEDAR STREET <br />EVERETT, YA 98201 <br />ne <br />enant ai c iess ty tate p one <br />'� �y.�..-�- /2B/�/ ,fiE i ;tZ...�,/%0 R%� 6v9 • iCo3y �'2o-oya�s Seov.es.�is6�C <br />ectr ca o��tTi�tor a ress ty .,tate � on�PF e 3tate cense o. <br />Z � � • �' • 5�.,,., O �6s.�i1-s. /S'�Bs,-� <br />ontract rlce o or � ropos s o ui <br />�'//8 -ss'x- S� • SW <br />ro ect�Caaress <br />c <br />Diacription of Mork To Be Done: <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE fACILITIES <br />SE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS NITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />,CITY OF EVERETT PERMIT W�LL BE ISSUED. , <br />NOTE: MIRING IN NON-DWELLINGS �S REQUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE REAO AND' EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL <br />PROVISIONS OF U1WS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOpK WILL BE COMPLETED WITH WHETHEA SPECIFlED NEREIN OR <br />NOT. THE 6FUNTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO YIOUTE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OriT1ER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON7RACTORS LAW 1827 RCW AND 296.200 WAC. <br />X ^ 5-3�-�� <br />Signatu Date <br />� 60 <br />� r — <br />