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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> WILDING DIVISION <br /> x 3200 CEDAR STREET <br /> ` EVERETT, WA 98201 <br /> 259-8810 <br /> Countrvavod Hanes 14410 Bel Red Road, #200, Bellevue, WA 98007 206-643-2323 <br /> rwner a Address City rtate p hone <br /> enania Address City tate <br /> p Phone <br /> Ft.:guson Electric Co., Inc. P.O. Box 1126, Woodinville,•WA 98072 486-8934 FERGUE)C160PK <br /> -lectrical Contractor Mail Addrei—s City State/Zip Phone State License o. <br /> $125.00 Temporary Pow- Pole <br /> '5—tract Price of-Wo-r-W Proposedof-Wo-r- Use of Building <br /> 26W-59th St SW, Everett Lot 11 <br /> roJ ect rebs <br /> ascription of Work To Be Done: Set Tanoorary Power Pole <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 PEAD AND EXAMINED THIS <br /> APPLIL kTION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVI;IGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL 8E COMPLETED WITH WHETr1ER SPECIFIED HEREIN OR <br /> NOT. THE GRAOTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO V!CLATE 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 PROPER,' TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRALTO LAW 18.27 RCW AND 296.200 WAC <br /> X 61C <br /> igrature Date � /1 � ]� <br /> . ? I <br />