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3R9(p0 <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF T <br /> BUILDING DIVISION <br /> 3200 CEDAR <br /> EVEREYETT, W STREET <br /> AR A 98201 <br /> n� 259.8810 <br /> l .�,xto& �yy�o3.4 apa pr�'�rno�L�\evuL WQ46bo'� l zsz�i <br /> er a mu y a e p one <br /> Tenant MailAddress City 5tat*IZIP Phone <br /> / Fc� <br /> `L qL_) \ e. ���e,. 1\2L. l�oer�� •l� •�� c�B/ e u el oPN. <br /> ee r e, n nc or fail-" ren y ./Lip p m a e LICOM50 NO. <br /> Pzs� �CMn <br /> .on TDi �O�! <br /> mer ea of -Proposed use bl'-U'Tng np <br /> L <br /> 0 - S1"L s- SLJ w; .38 <br /> row eu r� p <br /> Ascription of Work To Be Done, �.Pmn Q�6L1V�. �e.-U . too 4,"p <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 JOSS MUT SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REWIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO OF.TRUE AND CORRECT,ALL <br /> PROVISIONS OF LAWS AND ORDINANCE.^.GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN ON <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHO%!TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORT(FOR WHICH FRO�^)s 0 <br /> APPLICATION IS MADE .IND I COMPLY WITH THE STATE <br /> CONTRACTORS LAY!18.27 RCW AND 498.200 WAC. <br /> LZ 123 <br /> Signature Date <br />