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C:3 <br />I <br />! I <br />-I "Li <br />APPLICATION FOR ELECTRICAL PERMIT <br />C ITV CIF <br />everett <br />BUILDING DEPARTMENT <br />259 8810 <br />i-7q5 11q .se 9YOO <br />Owner Me I Address rity zip Phone <br />LINeoL-v P2oA:arv(o &-u.evvE yw- Z;OL /3 <br />Tenant Mail Address y p ons <br />Flectrical Contractor Mail Address City Lip Phone License <br />Nlvy,cu,.nr-FIFf—T.60A)70LW. 20P,] 2092RnT.rat1_G3Ro4/(zCv')It8892)3 AJAnTw.,raam,;, <br />E^_7 <br />Project Address <br />g210 85T" PL_Ae,& Sw I3[�rr_O,�✓r C� <br />ear pt on o Iior o Foot <br />TZCDI ni n �D Ir <br />NOTE: WAG 296-46-140 REQUIRES THAT PLANS FOT 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 />NOTEt WINIi: 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 />eROVISIONS 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 UR CANCEL THE PROVISIOND 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 rOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 29C.200 WAG. <br />X Lt-&-q2 <br />SI ature Date <br />FEE S 0 <br />_a3,7 <br />a <br />