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APPLICATON FOR ELECTRICAL rERMIT <br />259.8810 <br />CITY OF FV'RETT <br />WILDING DIVISION <br />3200 CFDAR :TREET <br />EVEROTr NA 9b.0T <br />,o ,. A� Neran.. C/ leA °fit tri- Z 4.'go O.S� <br />even r"�—NeTiA� rau City Stetcii�� and <br />Tenant Mail Address y 5tat.lzip Phone <br />! �� � I r� � w d 4im <br />Ceetl rleal n r•eN'r RiI Address —C ti y— Sli�el D Phone fate License <br />/�pA .J /1 S AP Serves A/nr'Fn. „r <br />Doff rictPrTe o� ar ropoae w o nq <br />�/1�. 75 st SE 611ec.1r- <br />ro ect ress ' <br />� p.u•rf <br />Disnrlptlon of Work To Be Donet #-� /1 C A p s en'&.S <br />MDTEt VAC 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 PCRMIT WILL BE ISSUED. , <br />ROTEt WIRING IN NON -DWELLINGS 15 REWIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT 1 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 CCMP-ETED 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 I9]7 RCW AND 296.200 WAG. <br />X <br />SIgn•turs Oat• <br />C° <br />FEE <br />3 8a yC <br />