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� <br /> lw.+� <br /> APPLICAi �0(V FOR ELECTRICAL PERMIT <br /> � � CITY OF EVERETT <br /> ��''' OUIIDING �IVISION <br /> d H � 3200 C(DM STREET <br /> Y N ������� EVE7tET7. MA 982U7 <br /> y �� 259-8810 <br /> � �� �; � ��y. . � , , ��, ��r t�: -� �.� � ,� ,.�s - , ^ <br /> I SC C ��D L''. �.✓ i--I. / L G /— .Y �. <br /> y�„� nrl�i er ai d ress ity tnte p hcne <br /> � �� :nant a� d ress � ty tate ip o��+ <br /> OM <br /> � �8 <br /> �� �Yi`- ,� _ <br /> �. H ectr ea ontractor at a ress �ty tate p one Cete icense o. <br /> � H <br /> N /! ' �� a /''/L'c -C�i <br /> gy H ont��r ce o or roposed se o u ng <br /> � �N <br /> y�q ro eCt resf <br /> G tn /J <br /> __ �� C I L� Q (� /��t �) � c't/�•; «� — Sl� � �t'O�.E� <br /> Diecriptlon of Work To De Uone: � <br /> U •� � <br /> � � <br /> �� _ <br /> '�r. �� - ___ <br /> � a NOiE: WAC 296-46-140 NEOUIRE'i THAT PUNS FOR ELECTRILAL WORK AT EDUCATIONAL, INSTITUTIONAL OR NEALTH CARE FACILI71E5 <br /> BE APPROVEO BY THE STATE OF WASHINGiON. APPLICANfS MI1H SUCIi JOBS MUST SIIOW THE ST�TE APPRO�ED PUNS BEFORE A <br /> �w. �' ,CITY OF EVERETT PERMIT MILL 8E ISSUED. , <br /> � ' NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONCUIT. � <br /> '� � <br /> �, �� I HEREBV CEPTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND COFFECT.ALL <br /> ?FipV1510N9 OF UWS AND GRDINANCES GOVEFNING THIS T'PE OF <br /> '—� , WORK WILL BE COMPLEfED WITH WHETMER SPECIFIED HEREIN OR <br /> � � NOT. THF. GRANTING OF A PERMIT OOES NOT PflESUME TO GIVE <br /> AUTHOR17V TO VIOUTE OF CA�JGEL THE PROV�SION5 OF ANY <br /> UTHEH STATE Ofi LOCAI UW REGUTATING CONSTRUCTION ON THE <br /> PERFOHMANCE OF CONSTAUCTIGN.THAT I AM A'JTHORIZED BY THE �J ` <br /> UWNEF OF THIS PftOPERTY TO PEHFOAM THE WORY. FOH WHICH FEE <br /> '� s APPLICATION IS MADE ANO 1 COMP�Y WITH THE STATE <br /> CONTRACTOHS UW 18.27 FCW AND 298.200 WAC. <br /> .� <br /> X ��w�.� l�z�..,� _ � -, - ,�� 3 <br /> 5(gnatura Data �I <br /> �� <br /> � <br />