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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> CountrVwood Hanes 14410 Bel Red Road, #200, Bellevue, WA. 98007 206-643-2323 <br /> —Ae1T dress —�Tty tete P one <br /> enanT_ mW AddressCity tate p ane <br /> Ferguson Electric Co. , Inc. P.O. Box 1126, Woodinville,'WA 98072 486-8934 FGRGULx1601K <br /> 'Jectrical Contractjr a ress City State/Zip one tae cense o. _ <br /> $125.00 Temporary Power Pole <br /> nntract Price of Volk _ _ _ ___ Proposed Use of Building <br /> 2611 59th St S19, Everett lot 9 <br /> roject ress <br /> Iacrlptlon of Work To Be Donet Set Ta=rary Power Pole <br /> NOM NAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK Al EDUCATIONAL INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS HU9T SHOW THE STATE APPROVED PIANS BEFORE A <br /> CITY OF EVERETT PERHIT WILL BE ISSUED, <br /> NOTE! WIRING IN NON-DWELLINGS i5 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 On <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 AUTHORIZFO BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> FEE �� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTp TORS LAW 18.27 RCW AND 296,200 W C. <br /> /i <br /> S ynature Date <br /> / J <br /> moor <br />