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APPLICATION FOR ELECTRICAL PERMIT <br /> I� CITY OF EVERETT <br /> BUILDING 0;47r 3200 CEDAR(VISION STREET <br /> 259-8310 <br /> EVERETT, WA 98201 <br /> 10 <br /> �o�r�\Mwrpd 14y�o" \ Zee\ cnc� *2C �a\1ev a WA q80 � �iS�Y-03J3 <br /> Hoer a d ress d tl y—$tate p Phone <br /> enant a City tato 11 1 1 p lone <br /> al CleTc Ci C112G lJ�c"ll l�Q l�� 9$07 �lrf(r"8�X3�/ CucCiUoPK <br /> `lai ress Ly atauetZip --fir one taeicense�— <br /> Btu <br /> y .�.5�C/Pi7 Gel <br /> ontraa-ct trice of ywoor ro os Use of Building <br /> — J 7 ) JW <br /> ect aT �Cl <br /> 5oJactress <br /> iscription of Work To Be Done: <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLAITS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY T14E STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PL4NS 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 3S <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRAC ORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signa tura <br /> Date <br />