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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 259-8810 3200 CEDAR STREET <br /> EVERETT, WA 96201 <br /> canerWnCIL lyLbo"�E >F q ZOO <br /> ai d ress E �n 9800 - .�kl -g913 <br /> L ty tate <br /> r <br /> Phone <br /> enant <br /> e d ress <br /> ty tate p <br /> �ERL�USp1J �lC C one <br /> ectr ce ontractor Q• ° �r' n .Lll <br /> Ha ress ty tate TPWL"— l � 3 �'Y ,UECIQ•�P� <br /> P Bone tate cense o. <br /> tracI trice of Work <br /> _Trropose so OOf�d ng <br /> >,Iect A tlress <br /> Iscrlptlon of Work To Be Done: <br /> NOTE: WAC 226-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT Li <br /> BE APPR"/ED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCHJOBSI SHOW TTHEOSTATE RAHEALTH PPROVED CPLANS ABEFORE EA <br /> CITY 0' EVERETT PERMIT WILL BE ISSUED, <br /> NOTE: WIRD• 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 /> PERFORMANCEAUTHORIZED <br /> OWNER OF THIS PROPERTY TO PER ORM HE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18,27 RCW AND 296.200 WAC. <br /> r <br /> X <br /> Signature , Date Q <br /> lec V <br />