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APPLICATivN FOR ELECTRICAL rrERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> • EVERETT, WA 98201 1 <br /> 259-8810 <br /> � � �/�'�c+r✓/lf?>>.ct< /YS�/�' �/�' �'.•r✓�tl� �c.C%Ei:y��, �✓�i �d'CC;' 11y-•/-3.13 <br /> r v a d ress ty '�3tate pPhone <br /> Tenant Mail Addre5s City State/Zip Phone <br /> ectr Ica�f.W t.t/von acto /ail Tess /`/•� 1.1 ty 1 .a Gy P. co�V .. wc/cs4/01141—11 A1— <br /> Contract Price of Workropose se o} ui d rg <br /> .)a, it'..3 . <br /> oJect d ress ,/ <br /> Discription of Work To Be Done: &C/- �� lQ 2i•• .541•_ <br /> NOTE: WAC 296-46-140 REQUIRES THA PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTHCARE 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 1U BE IN CONDUIT. <br /> 1 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 /> PERFORMANr!F OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF ' PROPERTY TO PERFORM THE WORK FOR WHICH FEE 3a •OG <br /> APPLICATIL MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAG. <br /> x 1 � <br /> Signatur Dat- <br />