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APPLICAT,JN FOR ELECTRICAL vERMIT <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 2'i9-8810 <br /> F"nl7CLCLT' {�owES n7 <br /> ne:1 atltlressLIty 9 y`8 I�co�i <br /> P Phone <br /> enan[ Mail Addrens t <br /> yLip one <br /> L.�w rLM Ti1C o Fx 3�L1 L�IRktnuP 3 <br /> Electr ce Eontrac for a ress ty - 2Z6 Lt{,ELE>c{4.1bYL3 <br /> P one Cense <br /> 2 46r-r Up <br /> Contract Price c or <br /> repose se o u-TT3Tng <br /> 22 <br /> Project A dress <br /> :ser pt ono Work a e one: <br /> Zoo Nwp sJngyla <br /> SIuL,LE Fkwlt.� 2>wL`f-l�uriS (i�cc ) <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELZCTRICAL WORK AT EDUCATIONAL r INSTITUTIONAL OR HEAT-VH CARE FACILITIES <br /> T <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL HE 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 GR.NTING 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 <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE - <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> •�o -� Q ��01.(.�B Tz.�3�y� <br /> Signature Date <br />