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APPLK!"ATION FOR ELECTRICAL PERMIT <br /> yyH <br /> CRY OF <br /> aHy everett <br /> yH BUILDING DEPARTMENT <br /> K C) 259.8810 <br /> H xl <br /> �G H K1 <br /> yH <br /> H \ <br /> • <br /> dE�'al 0-k d ?c: r�uF 980tr1 �� ai�3 <br /> O �7 ner ,e toren city Zip <br /> H [+1 0 <br /> 0` n engin <br /> H Address` Y D ons . <br /> y co t—rice: Contractor r <br /> a ren Licy LIP F <br /> ona LIcense <br /> H F-a- <br /> 1 ?p � n rcac�r Price or Proposed-Use <br /> o u ng <br /> HO y Pro e0'l1 d T <br /> rsT-- Address <br /> r-Fr— of Wor�I � 1.7 c w F g r C Y7 A Y" <br /> C I <br /> NOTE: WAC 296-46-140 REQUIRES THAT PUNS FOR ELECTRICAL WORK AT EDUCATIONAL INSTITUTIONAL OR HEALTH CARE FACILI <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PANS BEFO <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METAL RACEWAYS. <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 /> C 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 CONS1 RUCTION.THAT I AM AUTHORIZED BY THE 4�) C)C <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE lr1 <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTO LAW 18.27 RCW AND 296.200 WAC. <br /> ;Z <br /> Date 1 / <br /> Signature <br />