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APPLICATION FOR ELECTRICAL PERMIT <br />.ITY CF <br />evere#t <br />BUILDING DEPAMMENi <br />259.8©10 <br />L SfCr <br />(, d. <br />Tenant Mail Address City Zip hone <br />e� <br />c ca ontr acactr tor Mail Addre5s City Zip Phone License <br />Contract Price of Work r'op osa se o f Bu I I d I ng <br />3 s S�. Sr <br />Project ddress <br />iscr p[ on of Work o Be one: <br />r/G <br />NOTE: WAC 296-46-140 REQUIRES THAT PLAITS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW TIIE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />MOTE: WIRIIIC Ili LION- DWELLINGS IS REQUIRED TO BE IN METAL R',CEWAYS. <br />I HEREBY CERTIFY THAT 1 HAVE READ ANO 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 <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br />Date <br />I� <br />FEE <br />3&l Yo <br />