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APPLICATIuN FOR ELECTRICAL rERMIT <br /> CIT• OF LYERETT <br /> BUILnING DIVISION <br /> MCEDAR STREET <br /> 259-8810 , WA 98201 <br /> owner <br /> M811 Address <br /> ty state/Z1p one <br /> enant <br /> mail Address ty tate <br /> P one <br /> ectr ca - on actormail Address ty tate p one <br /> tate License o. <br /> ontractCrC ce of WorV----� <br /> rropo r e o u c:n9 v <br /> rro)ect Ad ress <br /> Discription of Work To Be Donee <br /> L.r r7 <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 JO05 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> .CITY OF EVERETT PERMIT WILL BE ISSUED, <br /> NOTE: WIRING IN NON-DWELLINCS 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 APPLICATIONISIS PROPERTY <br /> MADE AND PI COMPLY WITH FORM THE KT THE AICH FEE <br /> TE OG <br /> � , ---- <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> �L94 )ooh — <br /> Signa ure �� Date <br />