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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> WILDING DIVISION <br /> 3200 CEDAR STREET <br /> 259-8810 EVERETT, WA 98201 <br /> Countrywood Homes 14410 Bel P.ed Road, Suite 200, Bellevue, WA 98007 206-644-2323 <br /> nera: rasa <br /> tY tate p one <br /> N/A <br /> enant — q. Address CI <br /> tY tato P one <br /> Ferguson Electric Co. , Inc. P.O. Box 1126 Woodinville, WA 98072 486-8934 FFRGUEC160PK <br /> -lectrical Contractor Mail AMR* LIty 5 tate p one to a cense o. <br /> $125.00 Temporary Power Pole (RES) <br /> ontract Price o or Proposed se o u ng <br /> 26085t— <br /> St SW Lot 33 <br /> 'ro act ress <br /> lacription of Work To Be Done: Temporary Power pole <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 /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIOi 4S OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL 9E COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THF 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 $25.00 <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 HCW AND 296.200 WAC. <br /> Signature Date <br /> 3 <br />