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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EYERISI <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> 759-8810 EVERETT. WA 98201 <br /> � .// 1Je�f�F)m�- !�/�//y �,Pa✓�E'r� �ivr.Y !�/9. /r8vo7 � 3 <br /> Dwner L7 a� duress <br /> LY tate up ons--- <br /> enT nan[ a: ddress <br /> tY tate p one <br /> Jj C6 <br /> /3 <br /> + iYE /SJz� /�/ J�'r %6 J/ ld %5wy nooy8s Severs 6b <br /> L e,tr ea ont ,tor '1x11 Atltlreas Lity ate <br /> PPhone State cense o. <br /> .ZOO 00 [" ]�¢ .1OLS l 1tCYCl ' <br /> ontract Price o or Propos se u <br /> Lot 7 9 <br /> 253/ S9 - Sf Scv c,,,, y l.' <br /> ro ect deress <br /> Discription of Work To Be Done: "ClAA <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 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. <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 /> 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 LAW 18.27 RCW AND 296.200 WAC. <br /> X (� <br /> Signature _ Date <br />