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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY Or EVERETT <br /> WILDING DIVISION <br /> OL CEDAR STREET <br /> 259-8810 <br /> EVERETT, WA 0201 <br /> 14410 Be1 Red Road Suite 200 Bellevue WA 98007 206-644-2323 <br /> ner a ress <br /> ty tate p one <br /> I,/A <br /> enant -- mai I Address <br /> CY tate Pone <br /> Fe uson Elec ric Co. , Inc. P.O. Box 1126, 4loodinville, WA 98072 486-8934 FI72GUEC160PK <br /> ectr ca ontractor a ress Ity state/zip one tete cense o. <br /> $125.00 Tonporary power pole (res) <br /> ontract r ce o or Proposed se o Building <br /> 2613 57th St SW Lot 41 <br /> 7r0ect ress <br /> )Iscrlptlon of Work To Be Cine: Tonporary power pole <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APFROVED 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-DWELLINCS IS REQUIRED TO BE IN CONDUIT. e <br /> I HEREBY CERTIFY THAT I HAVE .1EAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUS AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WIa AE 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'.HE <br /> PERFORMANCE OF CONSTRUCTION.TH.1T I AM AUTHORIZED BY THIS $25.GO <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I CCMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 r4CW AND 296.200 WAC. <br /> X <br /> '\31 I 3 <br /> Signature oats ID <br />