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259-8810 <br />r <br />APPLICAi iON FOR ELECTRICAL PERMIT <br />p <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, VA 98201 <br />Tenant Mai Tiddress Ci <br />' � � (- _ ty State/Zip hone <br />''"''�*- 'Cr c _ rc 11�Oy \sv�S�• l kS���.. ,'� v >535 3 �4 -5485 —C4LL _W"C'Q( <br />ectrical von ac or ai ddress t{ y�tate p one to to icense o. <br />Contract r ce o or \rd <br />Proposed USC Or u d ng <br />Discription of Work To Be Done: <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 APPROVFD PLANS BEFORE A <br />,CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN CONDUIT. <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 (,' ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION GA 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 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />x � <br />5ignattllre \ Date <br />`i'�Y�OU <br />FEE <br />