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APPLICATICA FOR ELECTRICAL F,..RMIT <br /> CITYOF M <br /> everett APR - 4 1994 <br /> BUILDING DEPARTMENT <br /> 259.8810 _ . ......._ <br /> CITY OF EVERETT <br /> Public Works Dept. <br /> 4• GLlaamoto I q 2 E)ud+Ave >`WCW 9 8,�0( a 58-78 a7 <br /> ^ij ner a ress City p Phone <br /> N/A <br /> enant a ress Ci-y ,.,p rnene <br /> Via« Seri ' r 8129-0 yy Aye�, MuK;1 eco 48275 3N8 38 EyERGSTr iaLa <br /> Elect"ca ontrac or a reas City p one cens�- — <br /> sly�D. <br /> ontract r ce at work Proposeuse o Building <br /> a�a�l-57� StrceE S,w.Y Ey-eras <br /> ro ect ress <br /> scr pt on of VrK lo Be Donet <br /> NOTE: MAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORN AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STAT 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 /> 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 O^ <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE a7-V <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> XL�� '31-y <br /> Signature Date <br />