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I <br />APPLICAi iON FOR ELECTRICAL PERMIT <br />CRY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />erAddress GI ty Phone <br />��inn�.. irk /dais <br />/,yanc�rro /yavariA&� <br />y°7 <br />enant a <br />address <br />CT��Tip <br />na <br />blectrical Contractor Mail <br />4 L: tc71i�� <br />Address <br />l� Woe r <br />City Lip <br />u �t ra <br />Phone cense li- <br />Ef�f 3�e L1crL�T*ai3!I� <br />ontract r ce o or <br />royose se of duie <br />nq <br />Project Address <br />ay <br />/ <br />NiFFIItron of Worko Be Donst <br />) —� -� <br />L/L<ITAGC <br />A <br />2 �e?� �f <br />�s <br />��ilJ�rS t� F-Lff- <br />NOTE: WAG 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />INSTITUTIONAL OR HEALTH CARE FACILITIES <br />SHOW THE STATE APPROVED PLANS BEFORE A <br />NOTE: WIRING IN NON -DWELLINGS IS REOUIRED 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 />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 18.27 RCW AND 296.200 WAG. <br />X � ;i <br />Signature / Date <br />I <br />FEE 2L <br />