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APPLICAi ,JN FOR ELECTRICAL ERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />0fl0!7r 3700 CEDAR STREET <br />EVERETT, VA 98201 <br />259-8810 <br />�lQrnciL <br />r t:c/y VAN :-w %Aw jy'- A42-V 7� �_Si FVII I�i�l ��08 -3Phone �(O <br />t� ate p <br />e nant <br />Fa-1 d ress ty state/Lip Phone <br />ec tr ca on trac w, 61LY t to p <br />one fate tense o. <br />ontract r ce o or roposed Use of BuilcTi`nq <br />eo _ <br />ro ect dress <br />HOOK i!? <br />Disc ri ption of Work To Be Done: <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 -DWELLINGS 15 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 />NOT COMPLETED WITH WHETHER SPECIFIED OR <br />THE GRANTING OF APERMIT DOES NOT PRESUME TO G <br />IVE <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 WAC. <br />Signature Date <br />FEE n V <br />5Q832 <br />