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r. <br />APPLI 'AT iON FOR ELECTRICAL PERMIT <br />ress <br />P <br />CITY OF EVERETT <br />WILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />enant <br />--__R_ajT-ldcT—ress <br />.. ty <br />tote p <br />one <br />/^/ <br />State/Lip <br />Phone <br />btate <br />License No. <br />ectr ca <br />ontractor a FessCity <br />ontract Price or work—' — <br />-t4 S'z-, S 4 ) <br />S <br />Discription of Work To Be Done: 4VIA4e Q 4011i <br />S r-Af- <br />Proposed Use ul Wilding <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 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 HER71N 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 LAWW,18.27 RCW AND 296.200 WAC. <br />X�'.�����]�/� <br />Signature Date <br />FEE a5 <br />