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APPLIr4TION FOR ELECTRIr1kL PERMIT <br />CITY <br />BUILDING DEPARTMENT <br />259-8810 <br />Mlc gIolIC PC Roy 2a�G E ++ CO �03 36S-9 )u- <br />er ,a ress ty p Phone <br />Tenant <br />Mail Address <br />City <br />Zip Phone <br />2— <br />Electrical <br />Contractor <br />Mail Aiidrass <br />ty <br />Zip Phone License <br />contract mce oT eorK ......... <br />• �S18 1N1� Si SF <br />ro act ress <br />acr pt on of Worko Be one: - <br />Ylr W rrstden r I.) (oole' 4 — <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILI' <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFOI <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED 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 � 3-53 <br />Signs a Date <br />FEE , 1''06 <br />