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APPLICATIuN FOR ELECTRICAL rERMIT <br />71 YV CF <br />eVerett <br />31-1I1-DING DEPARTMENT <br />259.8810 <br />_�4,71 S I " 0- S E Everrli 48zo3 34?421I <br />S6_� <br />enant Mail Address City Lip Phone <br />M*1010�113 <br />Electrical ontractor Mail Address City Zip Phone License <br />75`­n—tr—a—ct--P-rT—ce-­oT work ropoae se of Building <br />p A�{�"I- oQ, }7 a}�nor^ <br />lotion a Work o e one: <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 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 t r�,, I4I12— <br />Signature Date <br />4g11yaeH <br />FEES J <br />