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APPLICATION FOR ELECTRICAL PERMIT <br /> (04L CITY OF EVEREST <br /> OU, DIVISION <br /> 32011 CEDAR STREET <br /> �n1 259.8810 nn EVE]ETT, WA 98201 <br /> I nI.O�IL,1 .,,,r r\ � LICUue L A 9t 07Mail Auuvess <br /> tY tate Zip i onne <br /> enant -- l <br /> P me <br /> a ress City tato <br /> eT clUnua1 Contractor —Mail Address LA�II t ' �"" O`er Zl�(IE,CI�f+�p� <br /> ty Mate ZTp—� onF-a ace a <br /> tae cens�o. -- <br /> w�g720 <br /> ..oWatt Price of Work <br /> of uullcing <br /> ��'71 r�Qoposec uae <br /> ro e� re,,.- S'/ 7"-IT SIJ .001- <br /> Q <br /> )iscrlption of Work To Be Done: l6 i Z GL t1t <br /> A <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 EVE.^.ETT 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 /> WC.'LK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> IAT. 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 /> Signature Date <br />