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APPLICATI,,N FOR ELECTRICAL .:RMIT <br /> wearv <br /> WILDINGeverett <br /> DEPARTMENT <br /> 0 <br /> Mai ddress Ll ty _�•ip mne�/ <br /> Tenant Mail Address (. cT y p hone <br /> 16�� L. :TA-� �yos �or3�d ��c SE Ev, � <br /> E ect�nyca Lon tractor Mair d-7�dress t.i ty ZTp shone cense <br /> ov <br /> Contract Price of Wor 0upose se o7-Bu7iS gg <br /> 5 Z0/ /3 ecce. le). <br /> I oject ddress <br /> Gdr'r-e- f-a ,-- s�or�nE./cr �uuJw ac. vi cc_ <br /> Olsc--ipCton of 'Work To Oe onr-: <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 WASHINGT0N. APPLICANTS WITH SUCH JOBS MUST SHOW TI:E STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: 'WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METAL RACEWAYS. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> F ROVISIONS 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 / SD <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEEr— <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br /> X -/-9S <br /> S nature Date <br /> 1 /J <br />