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APPLICATIG, e FOR ELECTRICAL Pf`,IMIT <br />TY CF <br />lverett <br />UILDING DEPARTMENT <br />39-8810 <br />ss <br />F1410 <br />E <br />nnant <br />Mail Address ress <br />L ty Lip <br />Phone y., <br />176 <br />/^l,�i <br />L. G././r�'7, <br />.'S,=.� r�,f.'_LL�a'Cr^•�lC.:-i; <br />/&?Zl2ir�'//c,iA, <br />l ectr ca ontracfor <br />ar d ress <br />ty p <br />hone <br />tense <br />ontract Price of WorkProposed Use of Burping <br />'ro ect'Address <br />iscript on of dark io Be one: <br />IOTE: WAC 796-46-140 REQUIRES THAT PLANS roll ELECTRICAL- WORK AT EDUCATIONAL., INSTITUTIONAL OR 14EALTII 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 />IOTE: WIRING IN NON-DWELLNIGS IS REQUIRED TO RE RI METAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED T14IS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AIND ORDINANCES GOVERNING THIS TYPE 01: <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE Gr.ANTNNG 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 WAC. <br />X //1%7 2-/ -%Y <br />$ gnature' <' Date <br />i <br />� (4 <br />FEE <br />