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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT DIVISI <br /> BUILDING DIVISION <br /> OL 3200 CEDAR STREET <br /> 2�559�--8810 EVERETT, WA 98201 <br /> .nor—�'t' 1 yL+10�si�wph X1800� -893 <br /> VV ---fir tetel2lp hone <br /> enant mail Anioress <br /> e� r-� LILY tate p lone <br /> �ERL,uSgll �lTzC, r0. `DrJr ata Or Figweel&ectr ca Contractor a � Sstate Licens�io: pt <br /> LILY te �p � & <br /> j2S= jcr»l' <br /> ontract Price of Work <br /> Proposed use of Building <br /> Av <br /> eje' cc nddro ///'j <br /> ascription of Work To Be Done: _-• --- a..,-Able, <br /> s —f <br /> NOTE: NAC 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 /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. R <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 CR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAC'18.27 RCW AND 296.200 WAC. <br /> X JYM, 4/7 <br /> Si-•ature Date <br /> vo���- <br />