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APPLICATION FOR ELECTRICAL HERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 4M7r 3200 CEDAR STREET <br /> EVERETT, VA 98201 <br /> 259-8810 <br /> /Sly/o Bi 0 Pte/ Qoc'o� haw P b a/Y Z3z3 <br /> one <br /> 'Snner a: ddress <br /> Tenant Hall Address <br /> ty tate p one <br /> NE / a.• 40 /( i A1� �J80j 8J0 O�1BStaS�' censCS e /36d� <br /> ectr ca on ctor a fess ty tate p <br /> �as .� <br /> ontract r ee o or ' Propose o u ng <br /> ,26/ s7 ' . Sw <br /> Project Address <br /> ill. L:l�iWrr' <br /> Di scripN on of Work To Be Done: <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT FDUCATIONAL, 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 /> NWORK WILL BE <br /> OT. THE GRANTING OF ACOMPLETED <br /> PERMIT WITH DO 9ENOT PRSPECIESUMFIEDE TO GREIN IVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE 1 CIU <br /> ?ERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> AOWNER PPLICAOTIONISIS PROPERTY <br /> MADE ANDPIERFORM THE COMPLY WITH WORKFOR <br /> STATE WHICH FEE _ <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ._ C? _ n o � ► — i8—93 <br /> Date <br /> Signat e r <br />