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1'*120Q <br />APPLICATION FOR ELEC f d4I2p jR <br />U lJ JON - 1 199 <br />3 <br />116 73 - (;9Y-vF/ 1314-- <br />CITY OF EVERETT <br />Public Works Dept. <br />49 <br />CITY OF LVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />�;Ar)& A3-AP-)nV _..- <br />enant a ress <br />tY rate p one <br />Fi eCLrl Cal L nail Addr esa <br />-2 <br />Luntract Price of Work <br />1rA/ P/L� <br />Discrlptlon of Work To Be Done: <br />ProposedUse o u d ng <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 PLANS BEFORE A <br />.CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINCS 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 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />gnature <br />Date <br />5, <br />FEEl"7 <br />007$ 7 <br />