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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISIml <br /> 3200 CEDAR STREET <br /> EVERM, WA 98201 <br /> �,�� ��� 259-8810 <br /> 3'�u'�"_ lUy10tlla��ec��� `�i I�uue LJA 9tlo? dCYI �- �3a3 <br /> ty tate Ifp— <br /> enT ant Mail Address ty tate ip , one r L y <br /> � �ecl r c l�ll�oJPl- <br /> ec ca ontractor a: ress ty tate p - one tate Liccnse No. <br /> ._oU <br /> 4 /Z.S <br /> se <br /> _ t Price o ore -Frio-poos <br /> ontrace o <br /> ed-Usf Building <br /> (o l es - S rrr SLc� LdT 3' <br /> ro ect reaa ,y <br /> )iscription of Work To Be Done: �' / {',jwou S. _ A'e <br /> i <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 /> i 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 KNOV/THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND C7DINANCES GOVERNING THIS TfPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI"c <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF /.NY <br /> OTHER STATE Oil LOCAL LAW REGULATING CONSTRUCTION OF. THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE ✓� <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE c� <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> rti <br /> X9/,7s <br /> Signature Date <br />