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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 4wrr 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259.8810 n //JJ <br /> IUUe <br /> �� rMail Aciares. City StatetZip Phone <br /> Tenant mail d llaass LJ <br /> ty tate p one <br /> r u rn , : ec J r,c 1'�. lex l/2f (l 'I �' E L c�A ��D�� 486 '� ziz�uecl PI <br /> ec ,ca Contractor a, less ty tate p Phone tate License no. ` <br /> ntract / �o or <br /> Proposed use ot u ng <br /> T <br /> 0750 „ <br /> ro ect ddress <br /> Cv <br /> Jiscription of Work To Be Done: <br /> NOTE: 296-46-140 <br /> THEUSTATETHAT <br /> WASHiINGTON.ELAPPLICANTSWORK <br /> WITHTSUCHCJOBSNMUSTINSTITUTIONAL <br /> THE STATERAPPROVEDCARE <br /> PLANSFACILITIES <br /> BEFOREA <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 T RUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOrIK WILL BE COMPLETED WITH WHFTHER 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 AUTHOPIZED BY THE oP <br /> OWNER OF THIS PrOPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMP 'f WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> 7 <br /> Signature Date <br />