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APPLICATION FOR ELECTRICAL PERMIT <br />J�P <br />259-8810 <br />CITY OF EVERETT <br />OUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />anent Mail Addre33 ty State/Zip Phone <br />Sf 14U t1�% lrJ %12_ Lti �� C rr c r3(vLd �M![f G kin/L 55»•2y 7 Sc y e'/UI <br />ecir ca oniractor �iaiT7Laeress ty t'te p one tote ZTcense No <br />1 45cJc� s. z . <br />ontr'et r ce of Work-ropose Use of Building <br />i3'LI 6��r3 <br />ro eat ress <br />Discription of Work To Be Done: <br />/ <br />C7 c � � P � . IZ- 4✓0 <br />Q <br />NOTE: WAC 296-46-140 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 PUNS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE 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 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 />CONTRA LAW 18.27 RCC�/2(9/6.�200�WAC.r} <br />)iu- — I Z f `Y2 <br />Sig 'tore Date <br />FEE <br />001 q <br />