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.4L <br />259-8810 <br />APPLICATION FOR ELECTRICAL PERMIT <br />do 5f <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />--State <br />enant <br />a —Actress <br />City p Phone <br />LIeCtrical Wntractor <br />Mail Fddlass ty <br />tateTLip rnone btate Lltense o <br />Proposea U36 or Building <br />ontract r ce of <br />WorkPropose <br />12 h 11 — 72 <br />Project Aduress <br />Di scription of Work To Be Dane: %/9CC yLt] 19 i1�2 t/L -40—, <br />r <br />'w <br />NOTE: WAC 296-46-140 REQUIRES THAT PUNS 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 -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 FEE <J <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW <br />``18.27 R((CW AND 296.200 WAC, <br />62 <br />Signature 7 Date <br />w.— y <br />