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APPLICNi SON FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> 417r BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> Z� Ll _ 1�1 le 9avo� 6 vy <br /> ner a ress Cly —State p one <br /> Tenant Mail Address City State/Zip Phone <br /> LlectricaVLontt4ctor a rty State/Li <br /> one a e License o. <br /> /s0. 1 moi: �. .. �_l, <br /> ContractPrice o or II ropos se or nT g <br /> . 0 7 S 7-x�' S/ ' S t'iL/ �UT Ll G" <br /> ro ect ress <br /> Description of Work To Be Done: e 42,11I'L$.I <br /> NOTE: MAC 296-46-140 REQUIRES THAT PUNS 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 /> 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 Cl cc <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X (1� : Jr <br /> Slgnat a Date <br />