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Cs7 C�1 � <br />1a�Ax <br />9Hx� <br />y zH <br />� H� <br />� H'�J <br />V1 H <br />y r <br />�o� <br />H C7 <br />��g <br />9H� <br />e-� H H <br />C7 V� <br />O H <br />C] C7 V1 <br />��r <br />z � c�n <br />HOcn <br />'a � <br />� ,v i <br />a �� <br />APPLICA� .JN FOR ELECTRICAL ?ERMIT <br />cin oF n�err <br />6UILDINC DIVISION <br />3200 CmAR STREET <br />EVER[TT, NA 98207 <br />Ele�rical �on[raccor ���a�� ^ , �� <br />�S ��r,.� <br />or.tract Pnce � Work � <br />� �n��z -� <br />Project Address <br />�iscription of Work To 6e Done: <br />l�L� S"�G2e o��/� <br />Proposed Use of 8ui ding <br />� <br />�S <br />NOTE: WAC 296-46-140 RFOUIRES THAT PLANS FOR <br />BE APf'ROVED BY THE STATE OF WASHINGTON. <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />ELAPPR`CAJTS k'ITHTSUDHCJOBSNMUST'SHOWTTHE STATERAPPROVEDCPLANSaBEFOREEA <br />NOTE: WIRItVG IN tJON-�WELLINCS IS REQUIRED TO BE IN CONUUIT <br />I HEREBY CEFTIF�� THAT I HAV'e READ AND� EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFF:CT. ALL <br />PROVISIONS C�� LA`NS AND OF�INANCES GOVERNING THIS iYPE OF <br />NOT T E GFAN ONG OF ADPERMIT OOES�NOT PR�ESUME TO GNE <br />AUTHORITY TO VIOLATE OR CANCEL 7HE Pi�OVISIONS OF ANY <br />OTHEfi STATE OR LUCAL LAW REGULATING CONS?RUGTION OR THE <br />PERFOFMANCE OF CONSTRUCTION. THAT I AM AUT1!ORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />pPPLICPTION IS MADE AN� I COMPLY WITH 7HE STATE <br />CONTRAGiOFS LAW 18.27 RCW AND 296.200 WAC. <br />X / /�� / � � <br />Si nature / �ate <br />l <br />FEE �l% � <br />� <br />