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APPLICATI,IN FOR ELECTRICAL rERMIT <br /> i,iI7oh7 <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> 04L <br /> EVERETT, IIA 98201 <br /> .--/ 259-8810 <br /> �ner � ,9p2„a� MailT A dd reGz <br /> f a✓ �Cc>/ �e ecwty State/Zip <br /> Cate ip h onez.3 <br /> Tenant aI Address <br /> ty tate p ane <br /> %2Fiy�vE /y�.✓P/ �':. vi, 3 <br /> eve s sec uCyw c,[,or <br /> ectr ca ontr tom—f�ai Tess ty tatp hone tate cense Vo. <br /> 2ad,On 7 Trac �:- 1� �/ �• <br /> Contract r cue o� oW rte— `tl Building.— <br /> ': <br /> il t> s <br /> ro se o ui d ng <br /> ?(,1-5 sy-A Sed. ENti'u�1 i IV, <br /> ro ect dress <br /> Discription of Work To Be Done: <br /> J <br /> NOTE: WAC 296-46-117 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 15 REOUIRL. 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 CONSTRUCT 'N OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH _?� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> 5 i gna4qrf � Da e <br />